| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $2,153.13 | $2,153.13 | $41,999.58 | |
CareSource
| Professional | $2,153.13 | $2,153.13 | $2,153.13 | |
Cigna
| Professional | $848.00 | $848.00 | $1,097.28 |
Axolotl Graft or Axolotl DualGraft, per sq cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $2,153.13 | $2,153.13 | $41,999.58 | |
CareSource
| Professional | $2,153.13 | $2,153.13 | $2,153.13 | |
Cigna
| Professional | $848.00 | $848.00 | $1,097.28 |