| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $667.31 | $667.31 | $8,500.00 | |
Medica
| Facility | $667.31 | $949.43 | $1,183.28 |
Capsulectomy/Capsulotomy Iphal Joint Each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $667.31 | $667.31 | $8,500.00 | |
Medica
| Facility | $667.31 | $949.43 | $1,183.28 |