| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,057.00 | $9,577.00 | $14,552.94 | |
Moda Health
| Facility | $615.63 | $3,160.53 | $4,424.74 | |
Providence
| Facility | $615.63 | $3,160.53 | $4,424.74 |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,057.00 | $9,577.00 | $14,552.94 | |
Moda Health
| Facility | $615.63 | $3,160.53 | $4,424.74 | |
Providence
| Facility | $615.63 | $3,160.53 | $4,424.74 |