| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,458.76 | $4,952.87 | $5,188.14 | |
Martin's Point
| Facility | $3,458.76 | $5,188.14 | $10,333.71 |
Prq Skel Fixj Phlngl Shft Fx Prox/Middle Px/F/T
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,458.76 | $4,952.87 | $5,188.14 | |
Martin's Point
| Facility | $3,458.76 | $5,188.14 | $10,333.71 |