| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.99 | $547.49 | $2,500.00 | |
Medica
| Facility | $361.99 | $615.38 | $918.25 |
Arthrt W/Expl Drg/Rmvl Loose/Fb Ntrtrsl/Tars Jt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.99 | $547.49 | $2,500.00 | |
Medica
| Facility | $361.99 | $615.38 | $918.25 |