| 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 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 |