| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $996.00 | $996.00 | $1,020.00 | |
Cigna
| Professional | $1,020.00 | $1,020.00 | $1,020.00 | |
United
| Professional | $738.49 | $788.99 | $1,183.49 |
SurgiGRAFT-DUAL, 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 | $996.00 | $996.00 | $1,020.00 | |
Cigna
| Professional | $1,020.00 | $1,020.00 | $1,020.00 | |
United
| Professional | $738.49 | $788.99 | $1,183.49 |