| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,457.05 | $4,457.05 | $4,457.05 | |
Martin's Point
| Facility | $4,457.05 | $4,457.05 | $4,457.05 |
Arthrs Aid Rpr Les/Talar Dome Fx/Tibl Plafond Fx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,457.05 | $4,457.05 | $4,457.05 | |
Martin's Point
| Facility | $4,457.05 | $4,457.05 | $4,457.05 |