| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.38 | $0.45 | $0.57 | |
Cigna
| Professional | $3.83 | $3.83 | $3.83 | |
United
| Professional | $0.44 | $0.74 | $1.63 |
Wound filler, dry form, per g, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.38 | $0.45 | $0.57 | |
Cigna
| Professional | $3.83 | $3.83 | $3.83 | |
United
| Professional | $0.44 | $0.74 | $1.63 |