| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,473.04 | $7,993.60 | $16,749.90 | |
Aetna
| Professional | $2,944.93 | $2,944.93 | $5,084.91 |
Unlisted procedure, leg or ankle
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,473.04 | $7,993.60 | $16,749.90 | |
Aetna
| Professional | $2,944.93 | $2,944.93 | $5,084.91 |