| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.48 | $784.00 | $1,831.00 | |
BCBS
| Facility | $569.88 | $569.88 | $569.88 | |
Cigna
| Facility | $221.79 | $221.79 | $254.12 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 |
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 | $184.48 | $784.00 | $1,831.00 | |
BCBS
| Facility | $569.88 | $569.88 | $569.88 | |
Cigna
| Facility | $221.79 | $221.79 | $254.12 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 |