| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.35 | $1,172.00 | $3,500.00 | |
BCBS
| Facility | $184.10 | $332.11 | $463.14 | |
Christus
| Facility | $95.27 | $95.27 | $95.27 | |
United
| Facility | $210.00 | $473.90 | $1,200.00 |
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 | $177.35 | $1,172.00 | $3,500.00 | |
BCBS
| Facility | $184.10 | $332.11 | $463.14 | |
Christus
| Facility | $95.27 | $95.27 | $95.27 | |
United
| Facility | $210.00 | $473.90 | $1,200.00 |