| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.59 | $1,793.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $180.25 | $399.87 | $399.87 | |
United
| Facility | $165.00 | $549.00 | $5,940.00 |
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 | $106.59 | $1,793.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $180.25 | $399.87 | $399.87 | |
United
| Facility | $165.00 | $549.00 | $5,940.00 |