| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $75.86 | $173.78 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
United
| Professional | $125.89 | $758.58 | $977.24 |
Zenith Amniotic Membrane, 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 | $75.86 | $75.86 | $173.78 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
United
| Professional | $125.89 | $758.58 | $977.24 |