| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.01 | $26.52 | $29.24 | |
Cigna
| Professional | $22.09 | $22.09 | $22.09 | |
United
| Professional | $15.00 | $15.00 | $33.00 |
Collagen based wound filler, dry form, sterile, per g of collagen
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.01 | $26.52 | $29.24 | |
Cigna
| Professional | $22.09 | $22.09 | $22.09 | |
United
| Professional | $15.00 | $15.00 | $33.00 |