| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.62 | $588.62 | $588.62 | |
Aetna
| Professional | $588.62 | $588.62 | $588.62 | |
Cigna
| Professional | $781.33 | $781.33 | $781.33 | |
Medica
| Facility | $588.62 | $588.62 | $1,646.03 |
Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.62 | $588.62 | $588.62 | |
Aetna
| Professional | $588.62 | $588.62 | $588.62 | |
Cigna
| Professional | $781.33 | $781.33 | $781.33 | |
Medica
| Facility | $588.62 | $588.62 | $1,646.03 |