| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $560.45 | $883.99 | $1,406.75 | |
Medica
| Facility | $131.69 | $241.69 | $1,582.00 | |
United
| Facility | $139.00 | $607.00 | $1,883.00 |
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 | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $560.45 | $883.99 | $1,406.75 | |
Medica
| Facility | $131.69 | $241.69 | $1,582.00 | |
United
| Facility | $139.00 | $607.00 | $1,883.00 |