| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $643.27 | $1,379.38 | $1,980.00 | |
BCBS
| Facility | $1,672.14 | $1,672.14 | $1,672.14 | |
United
| Facility | $985.00 | $3,572.00 | $9,515.00 |
Tdn Trnsplj/Tr Flxr/Xtnsr F/Arm&/Wrst 1/Tdn Gr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $643.27 | $1,379.38 | $1,980.00 | |
BCBS
| Facility | $1,672.14 | $1,672.14 | $1,672.14 | |
United
| Facility | $985.00 | $3,572.00 | $9,515.00 |