| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $248.81 | $248.81 | $272.47 |
Medica
| Facility | 54 | $1,163.50 | $1,163.50 | $1,163.50 |
Cltx Greater Humrl Tuberosity Fx W/Manipulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $248.81 | $248.81 | $272.47 |
Medica
| Facility | 54 | $1,163.50 | $1,163.50 | $1,163.50 |