| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $731.19 | $1,137.26 | $2,300.00 | |
CareSource
| Facility | $789.38 | $880.73 | $959.57 | |
Cigna
| Facility | $845.89 | $845.89 | $845.89 | |
Cigna
| Facility | AS | $84.22 | $84.22 | $84.22 |
Quadricepsplasty (eg, Bennett or Thompson type)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $731.19 | $1,137.26 | $2,300.00 | |
CareSource
| Facility | $789.38 | $880.73 | $959.57 | |
Cigna
| Facility | $845.89 | $845.89 | $845.89 | |
Cigna
| Facility | AS | $84.22 | $84.22 | $84.22 |