| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.73 | $5,982.00 | $11,298.00 | |
United
| Facility | $1,317.00 | $4,135.00 | $9,934.00 |
Open Harvest Upper Extremity Art 1 Segment Cab
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.73 | $5,982.00 | $11,298.00 | |
United
| Facility | $1,317.00 | $4,135.00 | $9,934.00 |