| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,407.00 | $4,407.00 | $4,407.00 |
Exploration Penetrating Wound Spx Extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,407.00 | $4,407.00 | $4,407.00 |