| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $609.54 | $4,722.42 | $7,629.00 | |
Anthem BCBS
| Facility | $5,410.00 | $6,763.00 | $10,956.00 | |
United
| Facility | $3,414.00 | $5,950.00 | $9,338.00 |
Repair Intermediate S/A/T/E >30.0 Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $609.54 | $4,722.42 | $7,629.00 | |
Anthem BCBS
| Facility | $5,410.00 | $6,763.00 | $10,956.00 | |
United
| Facility | $3,414.00 | $5,950.00 | $9,338.00 |