| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $404.12 | $404.13 | $404.13 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
Medica
| Facility | $383.92 | $404.13 | $444.54 |
Amniotic membrane for surgical reconstruction, per procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $404.12 | $404.13 | $404.13 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
Medica
| Facility | $383.92 | $404.13 | $444.54 |