| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $3.98 | $3.98 | |
Cigna
| Professional | $2.95 | $2.95 | $2.95 |
Foam dressing, wound filler, sterile, per g
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $3.98 | $3.98 | |
Cigna
| Professional | $2.95 | $2.95 | $2.95 |