| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $230.64 | $254.69 | $413.98 |
Cigna
| Facility | 54 | $392.80 | $392.80 | $392.80 |
Clsd Tx Acromioclavicular Dislc W/Manipulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $230.64 | $254.69 | $413.98 |
Cigna
| Facility | 54 | $392.80 | $392.80 | $392.80 |