| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.44 | $489.44 | $8,500.00 | |
Medica
| Facility | $489.44 | $710.15 | $1,012.92 |
Arthroscopy, elbow, surgical; with removal of loose body or foreign body
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.44 | $489.44 | $8,500.00 | |
Medica
| Facility | $489.44 | $710.15 | $1,012.92 |