| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $840.08 | $840.08 | $8,500.00 | |
Medica
| Facility | $840.08 | $1,114.60 | $1,460.39 |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $840.08 | $840.08 | $8,500.00 | |
Medica
| Facility | $840.08 | $1,114.60 | $1,460.39 |