| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $617.62 | $617.62 | $8,500.00 | |
Medica
| Facility | $617.62 | $1,049.95 | $1,230.48 | |
United
| Facility | $8,667.00 | $8,667.00 | $8,667.00 |
Tdn Trnsplj/Tr Flxr/Xtnsr F/Arm&/Wrst 1 Ea Tdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $617.62 | $617.62 | $8,500.00 | |
Medica
| Facility | $617.62 | $1,049.95 | $1,230.48 | |
United
| Facility | $8,667.00 | $8,667.00 | $8,667.00 |