| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $621.79 | $972.16 | $1,400.00 | |
CareSource
| Facility | $676.92 | $752.86 | $820.26 | |
Cigna
| Facility | $728.34 | $728.34 | $728.34 |
Closed treatment of knee dislocation; requiring anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $621.79 | $972.16 | $1,400.00 | |
CareSource
| Facility | $676.92 | $752.86 | $820.26 | |
Cigna
| Facility | $728.34 | $728.34 | $728.34 |