| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $692.92 | $692.92 | $8,500.00 | |
Medica
| Facility | $692.92 | $929.76 | $1,177.96 |
Arthrd W/Tdn Lngth&Advmnt Tarsl Nvclr-Cuneifor
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $692.92 | $692.92 | $8,500.00 | |
Medica
| Facility | $692.92 | $929.76 | $1,177.96 |