| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $304.52 | $304.52 | $338.17 |
Medica
| Facility | 54 | $1,447.50 | $1,447.50 | $1,447.50 |
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 | $304.52 | $304.52 | $338.17 |
Medica
| Facility | 54 | $1,447.50 | $1,447.50 | $1,447.50 |