| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.30 | $540.30 | $8,500.00 | |
Medica
| Facility | $540.30 | $901.00 | $1,008.22 |
Lngth/Shrt Tdn Leg/Ankle Mlt Tdn Same Inc Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.30 | $540.30 | $8,500.00 | |
Medica
| Facility | $540.30 | $901.00 | $1,008.22 |