| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,679.83 | $1,679.83 | $1,679.83 | |
Martin's Point
| Facility | $1,679.83 | $1,679.83 | $1,679.83 |
Clsd Tx Shoulder Dislc W/Manipulation Req Anes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,679.83 | $1,679.83 | $1,679.83 | |
Martin's Point
| Facility | $1,679.83 | $1,679.83 | $1,679.83 |