| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $97.72 | $102.33 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $97.72 | $97.72 | $97.72 | |
United
| Professional | $125.89 | $165.96 | $181.97 |
PuraPly, 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 | $97.72 | $97.72 | $102.33 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $97.72 | $97.72 | $97.72 | |
United
| Professional | $125.89 | $165.96 | $181.97 |