| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $588.84 | $588.84 | |
Aetna
| Professional | $588.84 | $588.84 | $707.95 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $776.25 | $776.25 | $776.25 |
Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $588.84 | $588.84 | |
Aetna
| Professional | $588.84 | $588.84 | $707.95 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $776.25 | $776.25 | $776.25 |