| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $820.15 | $4,223.49 | $5,912.89 | |
Providence
| Facility | $820.15 | $4,223.49 | $5,912.89 |
Proph Tx W/Wo Methylmethacrylate Humeral Shaft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $820.15 | $4,223.49 | $5,912.89 | |
Providence
| Facility | $820.15 | $4,223.49 | $5,912.89 |