| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
Providence
| Facility | $774.26 | $1,095.74 | $1,428.64 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |
Ostc Compl All Metar Heads W/Prtl Prox Phalangc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
Providence
| Facility | $774.26 | $1,095.74 | $1,428.64 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |