| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,824.14 | $4,824.14 | $4,824.14 | |
Martin's Point
| Facility | $4,824.14 | $4,824.14 | $4,824.14 | |
United
| Facility | $6,489.22 | $6,489.22 | $6,489.22 |
Arthrt Expl Drg/Rmvl Loose/Fb Mtcarphlngl Jt Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,824.14 | $4,824.14 | $4,824.14 | |
Martin's Point
| Facility | $4,824.14 | $4,824.14 | $4,824.14 | |
United
| Facility | $6,489.22 | $6,489.22 | $6,489.22 |