| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $699.04 | $699.04 | $8,500.00 | |
Medica
| Facility | $699.04 | $907.78 | $1,222.74 |
Repair Medial Collateral Ligament Elbow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $699.04 | $699.04 | $8,500.00 | |
Medica
| Facility | $699.04 | $907.78 | $1,222.74 |