| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $323.14 | $356.15 | $546.13 |
Wellcare
| Facility | 54 | $805.77 | $1,605.14 | $1,605.14 |
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 | $323.14 | $356.15 | $546.13 |
Wellcare
| Facility | 54 | $805.77 | $1,605.14 | $1,605.14 |