| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,399.00 | $2,250.00 | |
BCBS
| Facility | $9,318.39 | $11,280.66 | $15,176.10 | |
United
| Facility | $1,125.00 | $3,614.00 | $5,904.00 |
Sutr Infrapatellar Tdn 2 Rcnstj W/Fscal/Tdn Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,399.00 | $2,250.00 | |
BCBS
| Facility | $9,318.39 | $11,280.66 | $15,176.10 | |
United
| Facility | $1,125.00 | $3,614.00 | $5,904.00 |