| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.42 | $5.42 | $5.42 | |
Aetna
| Professional | $1.76 | $4.75 | $6.88 | |
Cigna
| Professional | $2.98 | $2.98 | $2.98 | |
Horizon BCBS
| Professional | $20.60 | $24.23 | $24.23 |
Foam Dressing Wound Filler Per Gram
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.42 | $5.42 | $5.42 | |
Aetna
| Professional | $1.76 | $4.75 | $6.88 | |
Cigna
| Professional | $2.98 | $2.98 | $2.98 | |
Horizon BCBS
| Professional | $20.60 | $24.23 | $24.23 |