| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,165.65 | $3,418.20 | $6,419.00 | |
Kaiser Permanente
| Professional | $2,531.00 | $3,170.59 | $3,170.59 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |
Capsul Midfoot W/Pst Talotibl Capsul&Tdn Lngth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,165.65 | $3,418.20 | $6,419.00 | |
Kaiser Permanente
| Professional | $2,531.00 | $3,170.59 | $3,170.59 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |