| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $516.16 | $516.16 | $8,500.00 | |
Medica
| Facility | $516.16 | $680.00 | $877.47 |
Tnols Flxr/Xtnsr Tdn Leg&/Ankle Mlt Tdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $516.16 | $516.16 | $8,500.00 | |
Medica
| Facility | $516.16 | $680.00 | $877.47 |