| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.04 | $4.04 | $4.04 | |
Aetna
| Professional | $4.04 | $4.04 | $4.04 | |
Cigna
| Facility | $3.50 | $3.50 | $3.50 | |
Cigna
| Professional | $2.98 | $2.98 | $3.61 |
Foam dressing, wound filler, sterile, per g
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.04 | $4.04 | $4.04 | |
Aetna
| Professional | $4.04 | $4.04 | $4.04 | |
Cigna
| Facility | $3.50 | $3.50 | $3.50 | |
Cigna
| Professional | $2.98 | $2.98 | $3.61 |