| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $837.38 | $837.38 | $8,500.00 | |
Medica
| Facility | $837.38 | $1,131.18 | $1,490.25 |
Arthrp Wrst W/Wo Interpos W/Wo Xtrnl/Int Fixj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $837.38 | $837.38 | $8,500.00 | |
Medica
| Facility | $837.38 | $1,131.18 | $1,490.25 |