| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,063.46 | $4,952.33 | $4,952.33 | |
Martin's Point
| Facility | $2,063.46 | $4,952.33 | $22,132.30 |
Optx Patllr Fx W/Int Fixj/Patllc&Soft Tiss Rpr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,063.46 | $4,952.33 | $4,952.33 | |
Martin's Point
| Facility | $2,063.46 | $4,952.33 | $22,132.30 |