| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $971.50 | $15,789.54 | $24,756.33 | |
Medica
| Facility | $971.50 | $1,630.46 | $11,155.20 | |
United
| Facility | $11,647.00 | $11,647.00 | $11,647.00 |
Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $971.50 | $15,789.54 | $24,756.33 | |
Medica
| Facility | $971.50 | $1,630.46 | $11,155.20 | |
United
| Facility | $11,647.00 | $11,647.00 | $11,647.00 |