| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $804.22 | $804.22 | $8,500.00 | |
Medica
| Facility | $804.22 | $1,078.89 | $1,399.19 | |
United
| Facility | $5,025.00 | $5,025.00 | $5,025.00 |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $804.22 | $804.22 | $8,500.00 | |
Medica
| Facility | $804.22 | $1,078.89 | $1,399.19 | |
United
| Facility | $5,025.00 | $5,025.00 | $5,025.00 |