| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $120.23 | $134.90 | |
United
| Professional | $107.15 | $125.89 | $151.36 |
Cellesta Cord, 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 | $87.10 | $120.23 | $134.90 | |
United
| Professional | $107.15 | $125.89 | $151.36 |