| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,729.38 | $1,910.85 | $1,910.85 | |
Martin's Point
| Facility | $1,729.38 | $1,910.85 | $9,230.99 |
Rpr Primary Torn Ligm&/Capsule Knee Collateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,729.38 | $1,910.85 | $1,910.85 | |
Martin's Point
| Facility | $1,729.38 | $1,910.85 | $9,230.99 |