| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.63 | $368.92 | $2,000.00 | |
Aetna
| Facility | 54 | $250.97 | $250.97 | $276.69 |
Medica
| Facility | $334.63 | $465.40 | $667.84 |
Treatment Closed Elbow Dislocation W/O Anes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.63 | $368.92 | $2,000.00 | |
Aetna
| Facility | 54 | $250.97 | $250.97 | $276.69 |
Medica
| Facility | $334.63 | $465.40 | $667.84 |