| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,424.15 | $3,243.94 | $3,955.04 | |
United
| Facility | $3,219.00 | $8,699.00 | $14,986.22 |
Arthrs Aid Rpr Les/Talar Dome Fx/Tibl Plafond Fx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,424.15 | $3,243.94 | $3,955.04 | |
United
| Facility | $3,219.00 | $8,699.00 | $14,986.22 |