| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $566.64 | $2,887.28 | $4,042.19 | |
Providence
| Facility | $566.64 | $2,887.28 | $4,042.19 |
Arthroscopy Elbow Surgical Debridement Extensive
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $566.64 | $2,887.28 | $4,042.19 | |
Providence
| Facility | $566.64 | $2,887.28 | $4,042.19 |