| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.97 | $19.97 | $19.97 | |
Cigna
| Facility | $19.97 | $19.97 | $19.97 | |
Cigna
| Professional | $19.97 | $19.97 | $19.97 | |
United
| Professional | $19.97 | $19.97 | $36.03 |
Cytal, 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 | $19.97 | $19.97 | $19.97 | |
Cigna
| Facility | $19.97 | $19.97 | $19.97 | |
Cigna
| Professional | $19.97 | $19.97 | $19.97 | |
United
| Professional | $19.97 | $19.97 | $36.03 |