| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.23 | $993.00 | $2,010.00 | |
United
| Facility | $721.00 | $1,467.00 | $4,538.00 |
Open Harvest Upper Extremity Art 1 Segment Cab
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.23 | $993.00 | $2,010.00 | |
United
| Facility | $721.00 | $1,467.00 | $4,538.00 |