| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $735.17 | $735.17 | $8,500.00 | |
Medica
| Facility | $735.17 | $1,076.39 | $1,615.79 |
Arthrd Midtarsl/Tarsometatarsal Mult/Transvrs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $735.17 | $735.17 | $8,500.00 | |
Medica
| Facility | $735.17 | $1,076.39 | $1,615.79 |