| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $740.59 | $3,301.91 | $7,564.32 | |
Martin's Point
| Facility | $740.59 | $6,114.72 | $18,992.09 |
Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $740.59 | $3,301.91 | $7,564.32 | |
Martin's Point
| Facility | $740.59 | $6,114.72 | $18,992.09 |