| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $705.54 | $705.54 | $8,500.00 | |
Medica
| Facility | $705.54 | $912.76 | $1,234.96 |
Repair lateral collateral ligament, elbow, with local tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $705.54 | $705.54 | $8,500.00 | |
Medica
| Facility | $705.54 | $912.76 | $1,234.96 |