| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $404.13 | $404.13 | $593.33 | |
Cigna
| Professional | $104.51 | $104.51 | $705.20 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 |
Amniotic Membrane For Surgical Reconstruction, Per Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $404.13 | $404.13 | $593.33 | |
Cigna
| Professional | $104.51 | $104.51 | $705.20 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 |