| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.09 | $6,073.00 | $11,260.00 | |
Horizon BCBS
| Facility | $30,127.99 | $30,127.99 | $31,281.82 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |
Ligamentous Reconstruction Knee Intra-Articular
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.09 | $6,073.00 | $11,260.00 | |
Horizon BCBS
| Facility | $30,127.99 | $30,127.99 | $31,281.82 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |