| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.62 | $4.07 | $17.35 | |
Cigna
| Professional | $3.07 | $3.07 | $3.07 | |
MVP Health Care
| Professional | $3.07 | $3.07 | $3.07 | |
United
| Professional | $2.08 | $5.00 | $25.79 |
Transparent film, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.62 | $4.07 | $17.35 | |
Cigna
| Professional | $3.07 | $3.07 | $3.07 | |
MVP Health Care
| Professional | $3.07 | $3.07 | $3.07 | |
United
| Professional | $2.08 | $5.00 | $25.79 |