| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.57 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $230.27 | $505.35 | $505.35 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
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 | $226.57 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $230.27 | $505.35 | $505.35 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |