| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,000.00 | $2,000.00 | $8,500.00 | |
Medica
| Facility | $465.40 | $465.40 | $486.07 | |
Medica
| Professional | $80.50 | $80.50 | $80.50 |
Unlisted Procedure Muscskeletal System General
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,000.00 | $2,000.00 | $8,500.00 | |
Medica
| Facility | $465.40 | $465.40 | $486.07 | |
Medica
| Professional | $80.50 | $80.50 | $80.50 |