| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,673.00 | $7,007.00 | |
Kaiser Permanente
| Professional | $838.59 | $1,732.43 | $1,732.43 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |
Optx Dstl Radl X-Artic Fx/Epiphysl Sep
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,673.00 | $7,007.00 | |
Kaiser Permanente
| Professional | $838.59 | $1,732.43 | $1,732.43 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |