| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.02 | $1,071.38 | $5,000.00 | |
Medica
| Facility | $831.02 | $1,188.54 | $1,835.41 |
Ostc Compl All Metar Heads W/Prtl Prox Phalangc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.02 | $1,071.38 | $5,000.00 | |
Medica
| Facility | $831.02 | $1,188.54 | $1,835.41 |