| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $386.51 | $404.13 | $404.13 | |
Medica
| Facility | $386.51 | $386.51 | $676.39 |
Amniotic membrane for surgical reconstruction, per procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $386.51 | $404.13 | $404.13 | |
Medica
| Facility | $386.51 | $386.51 | $676.39 |