| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $582.40 | $4,208.04 | $5,000.00 | |
Medica
| Facility | $582.40 | $837.99 | $1,205.85 |
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 | $582.40 | $4,208.04 | $5,000.00 | |
Medica
| Facility | $582.40 | $837.99 | $1,205.85 |