| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.69 | $4,722.42 | $8,031.00 | |
Anthem BCBS
| Facility | $5,410.00 | $6,763.00 | $10,432.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |
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 | $255.69 | $4,722.42 | $8,031.00 | |
Anthem BCBS
| Facility | $5,410.00 | $6,763.00 | $10,432.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |