| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,188.00 | $1,188.00 | $8,500.00 | |
Medica
| Facility | $1,188.00 | $1,533.34 | $2,121.58 |
Rmvl Prosth Tot Knee Prosth Mma W/Wo Insj Spacer
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,188.00 | $1,188.00 | $8,500.00 | |
Medica
| Facility | $1,188.00 | $1,533.34 | $2,121.58 |