| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.75 | $4,586.04 | $4,586.04 | |
Martin's Point
| Facility | $0.35 | $43.75 | $4,586.04 |
Arthrd Midtarsl/Tars Mlt/Transvrs W/Osteot
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.75 | $4,586.04 | $4,586.04 | |
Martin's Point
| Facility | $0.35 | $43.75 | $4,586.04 |