| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $675.13 | $675.13 | $8,500.00 | |
Medica
| Facility | $675.13 | $1,000.79 | $1,874.00 |
Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $675.13 | $675.13 | $8,500.00 | |
Medica
| Facility | $675.13 | $1,000.79 | $1,874.00 |