| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $471.35 | $2,611.75 | $3,213.95 | |
Medica
| Facility | $471.35 | $596.39 | $943.94 |
Prq Skel Fixj Phlngl Shft Fx Prox/Middle Px/F/T
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $471.35 | $2,611.75 | $3,213.95 | |
Medica
| Facility | $471.35 | $596.39 | $943.94 |