| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $460.15 | $4,502.00 | |
United
| Facility | $783.00 | $2,081.00 | $8,198.00 |
Open Harvest Upper Extremity Art 1 Segment Cab
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $460.15 | $4,502.00 | |
United
| Facility | $783.00 | $2,081.00 | $8,198.00 |