| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $10.96 | $15.85 | |
Cigna
| Professional | $13.49 | $13.49 | $13.49 | |
United
| Professional | $10.47 | $14.13 | $26.92 |
Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $10.96 | $15.85 | |
Cigna
| Professional | $13.49 | $13.49 | $13.49 | |
United
| Professional | $10.47 | $14.13 | $26.92 |