| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $283.27 | $307.91 | $678.90 |
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 | $283.27 | $307.91 | $678.90 |
Cigna
| Facility | 54 | $413.00 | $413.00 | $413.00 |