| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.00 | $50.00 | $50.00 | |
Kaiser Permanente
| Professional | $1.00 | $1.00 | $1.00 | |
Wellpoint
| Professional | $170.00 | $170.00 | $170.00 |
Compression Burn Garment Facial Hood Custom Fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.00 | $50.00 | $50.00 | |
Kaiser Permanente
| Professional | $1.00 | $1.00 | $1.00 | |
Wellpoint
| Professional | $170.00 | $170.00 | $170.00 |