| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $667.50 | $667.50 | $8,500.00 | |
Medica
| Facility | $667.50 | $1,027.51 | $1,144.84 |
Rpr Primary Open/Prq Ruptured Achilles W/Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $667.50 | $667.50 | $8,500.00 | |
Medica
| Facility | $667.50 | $1,027.51 | $1,144.84 |