| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.08 | $8,500.00 | $12,575.28 | |
Medica
| Facility | $1,048.08 | $1,768.37 | $4,827.01 |
Surgical Arthroscopy Shoulder Capsulorrhaphy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.08 | $8,500.00 | $12,575.28 | |
Medica
| Facility | $1,048.08 | $1,768.37 | $4,827.01 |