| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $845.03 | $845.03 | $10,000.00 | |
Medica
| Facility | $845.03 | $1,302.03 | $1,962.79 |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $845.03 | $845.03 | $10,000.00 | |
Medica
| Facility | $845.03 | $1,302.03 | $1,962.79 |