| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.52 | $594.52 | $594.52 | |
Cigna
| Facility | $1,143.08 | $1,143.08 | $1,143.08 | |
Providence
| Facility | $567.42 | $780.22 | $1,143.08 |
Arthrt Elbow Capsular Excision Capsular Rls Spx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.52 | $594.52 | $594.52 | |
Cigna
| Facility | $1,143.08 | $1,143.08 | $1,143.08 | |
Providence
| Facility | $567.42 | $780.22 | $1,143.08 |