| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.00 | $1,821.00 | $3,109.00 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 |
Rmvl Prosth Tot Knee Prosth Mma W/Wo Insj Spacer
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.00 | $1,821.00 | $3,109.00 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 |