| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.00 | $1,399.00 | $2,250.00 | |
BCBS
| Facility | $4,151.58 | $5,038.13 | $6,777.90 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |
Dcmprn Fasct Leg Ant&/Lat Compartments Only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.00 | $1,399.00 | $2,250.00 | |
BCBS
| Facility | $4,151.58 | $5,038.13 | $6,777.90 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |