| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.49 | $3,955.04 | $7,674.62 | |
United
| Facility | $3,713.00 | $7,457.00 | $12,945.00 |
Optx Dstl Radl X-Artic Fx/Epiphysl Sep
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.49 | $3,955.04 | $7,674.62 | |
United
| Facility | $3,713.00 | $7,457.00 | $12,945.00 |