| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.71 | $5,109.00 | $9,842.00 | |
Horizon BCBS
| Facility | $3,588.91 | $4,024.24 | $4,447.22 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |
Repair Intermediate S/A/T/E >30.0 Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.71 | $5,109.00 | $9,842.00 | |
Horizon BCBS
| Facility | $3,588.91 | $4,024.24 | $4,447.22 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |