| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $366.25 | $448.97 | $912.40 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
MVP Health Care
| Professional | $104.51 | $104.51 | $104.51 |
Amniotic Membrane For Surgical Reconstruction, Per Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $366.25 | $448.97 | $912.40 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
MVP Health Care
| Professional | $104.51 | $104.51 | $104.51 |