| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $542.22 | $1,007.39 | $1,094.85 |
Cigna
| Facility | 54 | $501.95 | $501.95 | $501.95 |
Closed Tx Distal Radioulnar Dislocation W/Manj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $542.22 | $1,007.39 | $1,094.85 |
Cigna
| Facility | 54 | $501.95 | $501.95 | $501.95 |