| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Cigna
| Professional | $191.26 | $191.26 | $191.26 | |
MVP Health Care
| Professional | $191.26 | $191.26 | $191.26 |
Compression Burn Garment Upper Trunk To Waist Including Arm Openings (Vest) Custom Fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Cigna
| Professional | $191.26 | $191.26 | $191.26 | |
MVP Health Care
| Professional | $191.26 | $191.26 | $191.26 |