| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.51 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 |
Compres Burn Garment, Noc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.51 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 |