| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $14,552.94 | |
Moda Health
| Facility | $716.71 | $3,665.98 | $5,132.37 | |
Providence
| Facility | $716.71 | $3,665.98 | $5,132.37 |
Optx Patllr Fx W/Int Fixj/Patllc&Soft Tiss Rpr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $14,552.94 | |
Moda Health
| Facility | $716.71 | $3,665.98 | $5,132.37 | |
Providence
| Facility | $716.71 | $3,665.98 | $5,132.37 |