| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.31 | $784.00 | $1,831.00 | |
BCBS
| Facility | $286.13 | $286.13 | $286.13 | |
Cigna
| Facility | $110.46 | $110.46 | $254.12 | |
United
| Facility | $225.00 | $485.00 | $1,650.00 |
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 | $138.31 | $784.00 | $1,831.00 | |
BCBS
| Facility | $286.13 | $286.13 | $286.13 | |
Cigna
| Facility | $110.46 | $110.46 | $254.12 | |
United
| Facility | $225.00 | $485.00 | $1,650.00 |