| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.38 | $6,171.00 | $11,798.00 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |
Rmvl Prosth Tot Knee Prosth Mma W/Wo Insj Spacer
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.38 | $6,171.00 | $11,798.00 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |