| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,152.92 | $1,729.38 | $1,782.82 | |
Martin's Point
| Facility | $1,152.92 | $1,729.38 | $1,782.82 |
Tr/Trnspl Tdn Carp/Mtcrpl Hand W/O Fr Grf Ea Tdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,152.92 | $1,729.38 | $1,782.82 | |
Martin's Point
| Facility | $1,152.92 | $1,729.38 | $1,782.82 |