| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,057.36 | $4,586.04 | $6,035.94 | |
Martin's Point
| Facility | $3,411.54 | $6,035.94 | $18,217.41 |
Optx Dstl Radl X-Artic Fx/Epiphysl Sep
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,057.36 | $4,586.04 | $6,035.94 | |
Martin's Point
| Facility | $3,411.54 | $6,035.94 | $18,217.41 |