| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,284.04 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $1,362.45 | $2,833.75 | $2,833.75 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |
Optx Prox Humrl Fx W/Int Fixj Rpr Tubrst Rplcmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,284.04 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $1,362.45 | $2,833.75 | $2,833.75 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |