| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.04 | $3.02 | $3.02 | |
Cigna
| Professional | $0.95 | $3.80 | $3.80 | |
United
| Professional | $0.28 | $0.63 | $1.48 |
Wound filler, dry form, per g, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.04 | $3.02 | $3.02 | |
Cigna
| Professional | $0.95 | $3.80 | $3.80 | |
United
| Professional | $0.28 | $0.63 | $1.48 |