| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $207.72 | $451.83 | $619.26 |
Lucent Health
| Facility | 54 | $1,085.10 | $1,219.88 | $1,219.88 |
Clsd Tx Acromioclavicular Dislc W/Manipulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $207.72 | $451.83 | $619.26 |
Lucent Health
| Facility | 54 | $1,085.10 | $1,219.88 | $1,219.88 |