| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,176.00 | $5,695.00 | $11,260.00 | |
Horizon BCBS
| Facility | $15,917.17 | $17,367.83 | $35,273.11 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |
Capsul Midfoot W/Pst Talotibl Capsul&Tdn Lngth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,176.00 | $5,695.00 | $11,260.00 | |
Horizon BCBS
| Facility | $15,917.17 | $17,367.83 | $35,273.11 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |