| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $89.13 | $89.13 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 |
Compression burn garment, glove to wrist, custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $89.13 | $89.13 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 |