| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.00 | $15.00 | $15.00 | |
CareSource
| Facility | $103.06 | $103.06 | $103.06 | |
CareSource
| Professional | $70.47 | $70.47 | $70.47 |
Unlisted procedure, casting or strapping
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.00 | $15.00 | $15.00 | |
CareSource
| Facility | $103.06 | $103.06 | $103.06 | |
CareSource
| Professional | $70.47 | $70.47 | $70.47 |