| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.38 | $1,223.00 | $2,250.00 | |
BCBS
| Facility | $500.53 | $607.41 | $817.17 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |
Repair Intermediate N/H/F/Xtrnl Gent 12.6-20 Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.38 | $1,223.00 | $2,250.00 | |
BCBS
| Facility | $500.53 | $607.41 | $817.17 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |