| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $89.13 | $93.33 | |
Cigna
| Facility | $85.11 | $85.11 | $102.33 | |
Cigna
| Professional | $89.13 | $89.13 | $89.13 | |
United
| Professional | $125.89 | $1,412.54 | $1,659.59 |
Enverse, 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 | $89.13 | $89.13 | $93.33 | |
Cigna
| Facility | $85.11 | $85.11 | $102.33 | |
Cigna
| Professional | $89.13 | $89.13 | $89.13 | |
United
| Professional | $125.89 | $1,412.54 | $1,659.59 |