| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.76 | $4.04 | $4.75 | |
Cigna
| Professional | $2.98 | $2.98 | $2.98 | |
MVP Health Care
| Professional | $2.98 | $2.98 | $2.98 |
Foam Dressing Wound Filler Per Gram
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.76 | $4.04 | $4.75 | |
Cigna
| Professional | $2.98 | $2.98 | $2.98 | |
MVP Health Care
| Professional | $2.98 | $2.98 | $2.98 |