| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.08 | $194.08 | $8,500.00 | |
Medica
| Facility | $194.08 | $267.52 | $336.44 |
Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.08 | $194.08 | $8,500.00 | |
Medica
| Facility | $194.08 | $267.52 | $336.44 |