| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.33 | $4,468.00 | $9,784.00 | |
Horizon BCBS
| Facility | $809.75 | $971.34 | $2,106.33 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |
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 | $169.33 | $4,468.00 | $9,784.00 | |
Horizon BCBS
| Facility | $809.75 | $971.34 | $2,106.33 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |