| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,197.75 | $10,900.00 | $22,888.00 | |
Moda Health
| Facility | $1,060.28 | $5,423.51 | $7,592.91 | |
Providence
| Facility | $1,060.28 | $5,423.51 | $7,592.91 |
Ligamentous reconstruction (augmentation), knee; intra-articular (open)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,197.75 | $10,900.00 | $22,888.00 | |
Moda Health
| Facility | $1,060.28 | $5,423.51 | $7,592.91 | |
Providence
| Facility | $1,060.28 | $5,423.51 | $7,592.91 |