| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.66 | $8,500.00 | $10,608.28 | |
Medica
| Facility | $446.66 | $566.05 | $788.42 |
Prq Skel Fixj Iphal Jt Dislc W/Manj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.66 | $8,500.00 | $10,608.28 | |
Medica
| Facility | $446.66 | $566.05 | $788.42 |