| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,772.37 | $17,782.79 | $17,782.79 | |
Moda Health
| Facility | $562.34 | $1,258.93 | $4,265.80 | |
Providence
| Facility | $575.44 | $891.25 | $3,311.31 |
Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,772.37 | $17,782.79 | $17,782.79 | |
Moda Health
| Facility | $562.34 | $1,258.93 | $4,265.80 | |
Providence
| Facility | $575.44 | $891.25 | $3,311.31 |