| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,165.67 | $1,165.67 | $8,500.00 | |
Medica
| Facility | $1,165.67 | $1,565.73 | $1,991.50 |
Rpr Non/Mal Femur Dstl H/N W/O Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,165.67 | $1,165.67 | $8,500.00 | |
Medica
| Facility | $1,165.67 | $1,565.73 | $1,991.50 |