| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.59 | $45.25 | $45.25 | |
BCBS
| Professional | $45.25 | $53.24 | $53.24 | |
Cigna
| Professional | $45.25 | $45.25 | $45.25 | |
United
| Professional | $44.36 | $44.36 | $44.36 |
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 | |
BCBS
| Professional | $45.25 | $53.24 | $53.24 | |
Cigna
| Professional | $45.25 | $45.25 | $45.25 | |
United
| Professional | $44.36 | $44.36 | $44.36 |