| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $739.20 | $739.20 | $739.20 |
Anesth Open/Surg Arthrs Total Knee Arthroplasty
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $739.20 | $739.20 | $739.20 |