| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.83 | $3,038.00 | $4,626.00 | |
Regence BlueShield
| Facility | $571.79 | $756.04 | $1,101.77 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |
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 | $159.83 | $3,038.00 | $4,626.00 | |
Regence BlueShield
| Facility | $571.79 | $756.04 | $1,101.77 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |