| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $731.87 | $14,448.74 | $14,448.74 | |
CareSource
| Facility | $719.64 | $801.44 | $873.18 | |
Cigna
| Facility | $772.24 | $772.24 | $772.24 | |
Cigna
| Facility | AS | $76.84 | $76.84 | $76.84 |
Rpr Primary Torn Ligm&/Capsule Knee Collateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $731.87 | $14,448.74 | $14,448.74 | |
CareSource
| Facility | $719.64 | $801.44 | $873.18 | |
Cigna
| Facility | $772.24 | $772.24 | $772.24 | |
Cigna
| Facility | AS | $76.84 | $76.84 | $76.84 |