| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,162.79 | $2,804.91 | $3,162.90 |
Open Harvest Upper Extremity Art 1 Segment Cab
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,162.79 | $2,804.91 | $3,162.90 |