| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $618.21 | $618.21 | $8,500.00 | |
Medica
| Facility | $618.21 | $912.26 | $1,107.52 |
Cross Intrinsic Transfer Each Tendon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $618.21 | $618.21 | $8,500.00 | |
Medica
| Facility | $618.21 | $912.26 | $1,107.52 |