| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.86 | $4.04 | $4.75 | |
Cigna
| Professional | $2.98 | $2.98 | $2.98 | |
Providence
| Facility | $4.04 | $4.04 | $4.04 | |
Providence
| Professional | $2.98 | $2.98 | $2,250,000.00 |
Foam dressing, wound filler, sterile, per g
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.86 | $4.04 | $4.75 | |
Cigna
| Professional | $2.98 | $2.98 | $2.98 | |
Providence
| Facility | $4.04 | $4.04 | $4.04 | |
Providence
| Professional | $2.98 | $2.98 | $2,250,000.00 |