| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $298.58 | $727.48 | $861.43 |
Cigna
| Facility | 54 | $413.00 | $413.00 | $413.00 |
Closed Tx Patellar Dislocation W/O Anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $298.58 | $727.48 | $861.43 |
Cigna
| Facility | 54 | $413.00 | $413.00 | $413.00 |