| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.51 | $7.51 | $15.99 | |
Cigna
| Professional | $13.47 | $13.47 | $13.47 | |
United
| Professional | $9.40 | $15.21 | $35.76 |
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 | $7.51 | $7.51 | $15.99 | |
Cigna
| Professional | $13.47 | $13.47 | $13.47 | |
United
| Professional | $9.40 | $15.21 | $35.76 |