| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,545.54 | $13,413.92 | |
Moda Health
| Facility | $673.97 | $3,462.25 | $4,847.14 | |
Providence
| Facility | $673.97 | $3,462.25 | $4,847.14 |
Ligamentous reconstruction (augmentation), knee; extra-articular
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,545.54 | $13,413.92 | |
Moda Health
| Facility | $673.97 | $3,462.25 | $4,847.14 | |
Providence
| Facility | $673.97 | $3,462.25 | $4,847.14 |