| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $541.77 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $504.16 | $734.99 | $1,139.00 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |
Amputation Foot Midtarsal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $541.77 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $504.16 | $734.99 | $1,139.00 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |