| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $3.02 | |
Cigna
| Professional | $1.51 | $1.51 | $1.51 | |
United
| Professional | $1.35 | $1.58 | $2.45 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq in or less, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $3.02 | |
Cigna
| Professional | $1.51 | $1.51 | $1.51 | |
United
| Professional | $1.35 | $1.58 | $2.45 |