| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $97.72 | $97.72 | $97.72 |
Compression burn garment, glove to elbow, custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $97.72 | $97.72 | $97.72 |