| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.26 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Cigna
| Professional | $18.69 | $18.69 | $18.69 | |
Hometown Health
| Professional | $100.00 | $200.00 | $493.00 |
Compres Burn Garment, Noc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.26 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Cigna
| Professional | $18.69 | $18.69 | $18.69 | |
Hometown Health
| Professional | $100.00 | $200.00 | $493.00 |