| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.08 | $0.10 | $0.11 | |
Cigna
| Professional | $0.08 | $0.08 | $0.08 | |
United
| Professional | $0.08 | $0.10 | $0.16 |
Gauze, nonimpregnated, sterile, pad size 16 sq in or less, without adhesive border, each dressing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.08 | $0.10 | $0.11 | |
Cigna
| Professional | $0.08 | $0.08 | $0.08 | |
United
| Professional | $0.08 | $0.10 | $0.16 |