| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $404.13 | $439.79 | $625.00 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
Horizon BCBS
| Professional | $1,275.00 | $1,275.00 | $1,500.00 |
Amniotic Membrane For Surgical Reconstruction, Per Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $404.13 | $439.79 | $625.00 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
Horizon BCBS
| Professional | $1,275.00 | $1,275.00 | $1,500.00 |