| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $360.10 | $394.77 | $394.77 |
Cigna
| Facility | 54 | $567.41 | $567.41 | $567.41 |
Medica
| Facility | 54 | $1,551.35 | $1,551.35 | $1,551.35 |
Closed Tx Knee Dislocation W/O Anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $360.10 | $394.77 | $394.77 |
Cigna
| Facility | 54 | $567.41 | $567.41 | $567.41 |
Medica
| Facility | 54 | $1,551.35 | $1,551.35 | $1,551.35 |