| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.44 | $3.09 | $3.40 | |
Cigna
| Professional | $2.58 | $2.58 | $2.58 | |
United
| Professional | $2.27 | $2.89 | $9.22 |
Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.44 | $3.09 | $3.40 | |
Cigna
| Professional | $2.58 | $2.58 | $2.58 | |
United
| Professional | $2.27 | $2.89 | $9.22 |