| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.58 | $8.32 | $9.17 | |
Cigna
| Professional | $6.93 | $6.93 | $6.93 | |
United
| Professional | $6.11 | $7.64 | $12.61 |
Foam dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.58 | $8.32 | $9.17 | |
Cigna
| Professional | $6.93 | $6.93 | $6.93 | |
United
| Professional | $6.11 | $7.64 | $12.61 |