| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,921.22 | $16,921.22 | $16,921.22 | |
Martin's Point
| Facility | $16,921.22 | $16,921.22 | $16,921.22 |
Capsulorrhaphy Anterior W/Labral Repair
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,921.22 | $16,921.22 | $16,921.22 | |
Martin's Point
| Facility | $16,921.22 | $16,921.22 | $16,921.22 |