| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $819.55 | $819.55 | $8,500.00 | |
Medica
| Facility | $819.55 | $1,185.65 | $2,458.65 |
Optx Dstl Radl I-Artic Fx/Epiphysl Sep 2 Frag
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $819.55 | $819.55 | $8,500.00 | |
Medica
| Facility | $819.55 | $1,185.65 | $2,458.65 |