| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,803.39 | $6,907.00 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 |
Tdn Trnsplj/Tr Flxr/Xtnsr F/Arm&/Wrst 1 Ea Tdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,803.39 | $6,907.00 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 |