| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $746.68 | $746.68 | $8,500.00 | |
Medica
| Facility | $746.68 | $1,071.10 | $1,534.74 |
Optx Patllr Fx W/Int Fixj/Patllc&Soft Tiss Rpr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $746.68 | $746.68 | $8,500.00 | |
Medica
| Facility | $746.68 | $1,071.10 | $1,534.74 |