| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |
Adrc Ther Prtl Thickness Rc Tear Njx Tendon Uni
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |