| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.37 | $526.95 | $4,312.00 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |
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 | $120.37 | $526.95 | $4,312.00 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |