| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.99 | $1,074.00 | $3,109.00 | |
BCBS
| Facility | $379.42 | $379.42 | $455.30 | |
Cigna
| Facility | $136.65 | $136.65 | $136.65 | |
United
| Facility | $130.00 | $328.00 | $768.00 |
Simple Repair F/E/E/N/L/M 12.6cm-20.0 Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.99 | $1,074.00 | $3,109.00 | |
BCBS
| Facility | $379.42 | $379.42 | $455.30 | |
Cigna
| Facility | $136.65 | $136.65 | $136.65 | |
United
| Facility | $130.00 | $328.00 | $768.00 |