| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $64.57 | $70.79 | |
Cigna
| Facility | $61.66 | $61.66 | $74.13 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
United
| Professional | $74.13 | $81.28 | $125.89 |
PriMatrix, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $64.57 | $70.79 | |
Cigna
| Facility | $61.66 | $61.66 | $74.13 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
United
| Professional | $74.13 | $81.28 | $125.89 |