| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $100.00 | $117.49 | |
Cigna
| Facility | $95.50 | $95.50 | $114.82 | |
Cigna
| Professional | $79.43 | $100.00 | $100.00 | |
United
| Professional | $120.23 | $131.83 | $213.80 |
PuraPly AM, 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 | $100.00 | $100.00 | $117.49 | |
Cigna
| Facility | $95.50 | $95.50 | $114.82 | |
Cigna
| Professional | $79.43 | $100.00 | $100.00 | |
United
| Professional | $120.23 | $131.83 | $213.80 |