| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $366.25 | $404.13 | $912.40 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Amniotic Membrane For Surgical Reconstruction, Per Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $366.25 | $404.13 | $912.40 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |