| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.66 | $3,649.91 | $6,500.00 | |
Medica
| Facility | $753.66 | $1,156.00 | $1,305.79 |
Rad Exc Bursa Synva Wrst/F/Arm Tdn Shths Flxrs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.66 | $3,649.91 | $6,500.00 | |
Medica
| Facility | $753.66 | $1,156.00 | $1,305.79 |