| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.00 | $2,138.00 | $5,200.50 | |
Aetna
| Facility | 52 | $1,058.41 | $1,058.41 | $1,587.62 |
United
| Facility | $2,104.00 | $4,555.00 | $8,929.00 |
Revis Shoulder Arthrplsty Humeral&Glenoid Compnt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.00 | $2,138.00 | $5,200.50 | |
Aetna
| Facility | 52 | $1,058.41 | $1,058.41 | $1,587.62 |
United
| Facility | $2,104.00 | $4,555.00 | $8,929.00 |