| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.31 | $0.31 | $0.65 | |
Cigna
| Professional | $3.83 | $3.83 | $3.83 | |
United
| Professional | $0.38 | $0.62 | $1.51 |
Wound filler, dry form, per g, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.31 | $0.31 | $0.65 | |
Cigna
| Professional | $3.83 | $3.83 | $3.83 | |
United
| Professional | $0.38 | $0.62 | $1.51 |