| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,528.68 | $1,528.68 | $1,528.68 | |
Martin's Point
| Facility | $1,528.68 | $1,528.68 | $1,528.68 |
Closed Tx Knee Dislocation W/Anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,528.68 | $1,528.68 | $1,528.68 | |
Martin's Point
| Facility | $1,528.68 | $1,528.68 | $1,528.68 |