| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $83.18 | $85.11 | |
Cigna
| Professional | $85.11 | $85.11 | $85.11 | |
United
| Professional | $125.89 | $162.18 | $281.84 |
surgiGRAFT, 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 | $79.43 | $83.18 | $85.11 | |
Cigna
| Professional | $85.11 | $85.11 | $85.11 | |
United
| Professional | $125.89 | $162.18 | $281.84 |