| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.72 | $2,612.00 | $9,125.00 | |
Horizon BCBS
| Facility | $442.74 | $483.09 | $921.30 | |
United
| Facility | $1,200.00 | $3,339.00 | $9,152.00 |
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 | $138.72 | $2,612.00 | $9,125.00 | |
Horizon BCBS
| Facility | $442.74 | $483.09 | $921.30 | |
United
| Facility | $1,200.00 | $3,339.00 | $9,152.00 |