| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.18 | $1,277.00 | $3,109.00 | |
United
| Facility | $375.00 | $1,230.00 | $2,421.00 |
Open Harvest Upper Extremity Art 1 Segment Cab
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.18 | $1,277.00 | $3,109.00 | |
United
| Facility | $375.00 | $1,230.00 | $2,421.00 |