| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,157.62 | $3,955.04 | $5,496.04 | |
United
| Facility | $2,569.00 | $4,571.00 | $7,350.00 |
Prq Skel Fixj Phlngl Shft Fx Prox/Middle Px/F/T
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,157.62 | $3,955.04 | $5,496.04 | |
United
| Facility | $2,569.00 | $4,571.00 | $7,350.00 |