| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $324.64 | $361.04 | $1,365.41 |
Quartz
| 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 | $324.64 | $361.04 | $1,365.41 |
Quartz
| Facility | 54 | $1,447.50 | $1,447.50 | $1,447.50 |