| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Cigna
| Professional | $0.48 | $0.56 | $0.56 | |
United
| Professional | $0.14 | $0.31 | $0.74 |
Gauze, nonimpregnated, nonsterile, pad size more than 48 sq in, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Cigna
| Professional | $0.48 | $0.56 | $0.56 | |
United
| Professional | $0.14 | $0.31 | $0.74 |