| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.91 | $803.00 | $2,812.00 | |
BCBS
| Facility | $183.66 | $183.66 | $220.39 | |
Cigna
| Facility | $136.65 | $136.65 | $136.65 | |
United
| Facility | $130.00 | $328.00 | $768.00 |
Simple Repair F/E/E/N/L/M 7.6cm-12.5 Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.91 | $803.00 | $2,812.00 | |
BCBS
| Facility | $183.66 | $183.66 | $220.39 | |
Cigna
| Facility | $136.65 | $136.65 | $136.65 | |
United
| Facility | $130.00 | $328.00 | $768.00 |