| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.59 | $45.25 | $45.25 | |
Cigna
| Facility | $45.25 | $45.25 | $45.25 | |
Cigna
| Professional | $45.25 | $45.25 | $45.25 | |
United
| Professional | $44.36 | $44.36 | $3,360.22 |
Keramatrix or Kerasorb, 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 | $42.59 | $45.25 | $45.25 | |
Cigna
| Facility | $45.25 | $45.25 | $45.25 | |
Cigna
| Professional | $45.25 | $45.25 | $45.25 | |
United
| Professional | $44.36 | $44.36 | $3,360.22 |