| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $3,235.94 | $3,981.07 | |
United
| Facility | $3,235.94 | $7,413.10 | $15,135.61 |
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $3,235.94 | $3,981.07 | |
United
| Facility | $3,235.94 | $7,413.10 | $15,135.61 |