| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $402.08 | $440.50 | $703.31 |
Cltx Medial Malls Fx W/Manj W/Wo Skn/Skel Tracj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $402.08 | $440.50 | $703.31 |