| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $111.37 | $111.37 | $111.37 | |
Medica
| Facility | $100.00 | $158.00 | $190.00 |
Compression Burn Garment Chin Strap Custom Fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $111.37 | $111.37 | $111.37 | |
Medica
| Facility | $100.00 | $158.00 | $190.00 |