| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,132.71 | $28,404.09 | $29,241.03 | |
Cigna
| Facility | $4,891.46 | $4,891.46 | $4,891.46 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 |
Sutr Infrapatellar Tdn 2 Rcnstj W/Fscal/Tdn Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,132.71 | $28,404.09 | $29,241.03 | |
Cigna
| Facility | $4,891.46 | $4,891.46 | $4,891.46 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 |