| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $671.04 | $671.04 | $8,500.00 | |
Medica
| Facility | $671.04 | $897.72 | $1,186.72 |
Repair, primary, torn ligament and/or capsule, knee; collateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $671.04 | $671.04 | $8,500.00 | |
Medica
| Facility | $671.04 | $897.72 | $1,186.72 |