| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.36 | $158.49 | $162.18 | |
Cigna
| Professional | $162.18 | $162.18 | $162.18 | |
United
| Professional | $125.89 | $165.96 | $281.84 |
NeoPatch or Therion, 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 | $151.36 | $158.49 | $162.18 | |
Cigna
| Professional | $162.18 | $162.18 | $162.18 | |
United
| Professional | $125.89 | $165.96 | $281.84 |