| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,042.07 | $8,500.00 | $12,261.20 | |
Medica
| Facility | $1,042.07 | $1,780.15 | $9,387.94 |
Optx Dstl Radl I-Artic Fx/Epiphysl Sep 3 Frag
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,042.07 | $8,500.00 | $12,261.20 | |
Medica
| Facility | $1,042.07 | $1,780.15 | $9,387.94 |