| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.35 | $1.35 | $3.98 | |
Cigna
| Professional | $3.80 | $3.80 | $3.80 | |
United
| Professional | $0.27 | $0.40 | $1.26 |
Wound filler, dry form, per g, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.35 | $1.35 | $3.98 | |
Cigna
| Professional | $3.80 | $3.80 | $3.80 | |
United
| Professional | $0.27 | $0.40 | $1.26 |