| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $775.31 | $3,760.94 | $3,760.94 | |
CareSource
| Facility | $542.54 | $600.41 | $654.16 | |
Cigna
| Facility | $585.13 | $585.13 | $585.13 |
Synvct Prox Iphal Jt W/Xtnsr Rcnstj Ea Iphal Jt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $775.31 | $3,760.94 | $3,760.94 | |
CareSource
| Facility | $542.54 | $600.41 | $654.16 | |
Cigna
| Facility | $585.13 | $585.13 | $585.13 |