| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $648.89 | $648.89 | $8,500.00 | |
Medica
| Facility | $648.89 | $875.06 | $1,155.58 |
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 | $648.89 | $648.89 | $8,500.00 | |
Medica
| Facility | $648.89 | $875.06 | $1,155.58 |