| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.66 | $137.77 | $137.77 | |
Cigna
| Professional | $162.08 | $229.36 | $229.36 | |
United
| Professional | $162.08 | $162.08 | $162.08 |
HMatrix, 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 | $129.66 | $137.77 | $137.77 | |
Cigna
| Professional | $162.08 | $229.36 | $229.36 | |
United
| Professional | $162.08 | $162.08 | $162.08 |