| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.87 | $3,381.18 | $4,043.18 | |
CareSource
| Facility | $479.78 | $529.22 | $576.60 | |
Cigna
| Facility | $520.78 | $520.78 | $520.78 |
Prq Skel Fixj Iphal Jt Dislc W/Manj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.87 | $3,381.18 | $4,043.18 | |
CareSource
| Facility | $479.78 | $529.22 | $576.60 | |
Cigna
| Facility | $520.78 | $520.78 | $520.78 |