| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $702.09 | $1,094.75 | $1,700.00 | |
CareSource
| Facility | $760.38 | $847.80 | $923.70 | |
Cigna
| Facility | $814.65 | $814.65 | $814.65 | |
Cigna
| Facility | AS | $80.94 | $80.94 | $80.94 |
Open Tx Acute/Chronic Elbow Dislocation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $702.09 | $1,094.75 | $1,700.00 | |
CareSource
| Facility | $760.38 | $847.80 | $923.70 | |
Cigna
| Facility | $814.65 | $814.65 | $814.65 | |
Cigna
| Facility | AS | $80.94 | $80.94 | $80.94 |