| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.69 | $247.69 | $8,500.00 | |
Medica
| Facility | $244.52 | $247.69 | $743.07 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,978.00 |
Open Harvest Upper Extremity Art 1 Segment Cab
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.69 | $247.69 | $8,500.00 | |
Medica
| Facility | $244.52 | $247.69 | $743.07 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,978.00 |