| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $813.53 | $813.53 | $8,500.00 | |
Medica
| Facility | $813.53 | $1,222.68 | $1,591.33 |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $813.53 | $813.53 | $8,500.00 | |
Medica
| Facility | $813.53 | $1,222.68 | $1,591.33 |