| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.36 | $3,038.00 | $4,626.00 | |
Regence BlueShield
| Facility | $873.66 | $1,190.82 | $1,735.36 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |
Repair Intermediate N/H/F/Xtrnl Gent 12.6-20 Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.36 | $3,038.00 | $4,626.00 | |
Regence BlueShield
| Facility | $873.66 | $1,190.82 | $1,735.36 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |