| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.65 | $784.00 | $1,831.00 | |
BCBS
| Facility | $326.48 | $326.48 | $326.48 | |
Cigna
| Facility | $339.62 | $339.62 | $382.44 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 |
Repair Intermediate N/H/F/Xtrnl Gent 12.6-20 Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.65 | $784.00 | $1,831.00 | |
BCBS
| Facility | $326.48 | $326.48 | $326.48 | |
Cigna
| Facility | $339.62 | $339.62 | $382.44 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 |