| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,806.40 | $6,806.40 | $6,806.40 |
Rad Exc Bursa Synva Wrst/F/Arm Tdn Shths Xtnsrs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,806.40 | $6,806.40 | $6,806.40 |