| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,577.00 | $14,552.94 | |
Moda Health
| Facility | $541.79 | $2,757.13 | $3,859.98 | |
Providence
| Facility | $541.79 | $2,757.13 | $3,859.98 |
Lngth/Shrt Flxr/Xtnsr Tdn F/Arm&/Wrist 1 Ea Tdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,577.00 | $14,552.94 | |
Moda Health
| Facility | $541.79 | $2,757.13 | $3,859.98 | |
Providence
| Facility | $541.79 | $2,757.13 | $3,859.98 |