| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $216.49 | $264.54 | $323.19 |
Cigna
| Facility | 54 | $413.00 | $413.00 | $413.00 |
Closed treatment of patellar dislocation; without anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $216.49 | $264.54 | $323.19 |
Cigna
| Facility | 54 | $413.00 | $413.00 | $413.00 |