| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.46 | $707.46 | $8,500.00 | |
Medica
| Facility | $707.46 | $945.93 | $1,225.46 |
Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.46 | $707.46 | $8,500.00 | |
Medica
| Facility | $707.46 | $945.93 | $1,225.46 |