| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.89 | $26.44 | $26.44 | |
Cigna
| Professional | $31.11 | $44.03 | $44.03 | |
United
| Professional | $31.11 | $31.11 | $31.11 |
AlloDerm, 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 | $24.89 | $26.44 | $26.44 | |
Cigna
| Professional | $31.11 | $44.03 | $44.03 | |
United
| Professional | $31.11 | $31.11 | $31.11 |