| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $50.12 | $50.12 | |
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
Cigna
| Facility | $186.21 | $186.21 | $186.21 | |
Cigna
| Professional | $100.00 | $100.00 | $100.00 |
Compression burn garment, facial hood, custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $50.12 | $50.12 | |
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
Cigna
| Facility | $186.21 | $186.21 | $186.21 | |
Cigna
| Professional | $100.00 | $100.00 | $100.00 |