| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,163.82 | $1,163.82 | $10,000.00 | |
Medica
| Facility | $1,163.82 | $1,583.04 | $1,985.76 |
Arthrp W/Prostc Rplcmt Dstl Rds&Prtl/Carpus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,163.82 | $1,163.82 | $10,000.00 | |
Medica
| Facility | $1,163.82 | $1,583.04 | $1,985.76 |