| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $401.59 | $3,038.00 | $4,387.00 | |
United
| Facility | $1,292.00 | $4,455.00 | $13,847.00 |
Open Harvest Upper Extremity Art 1 Segment Cab
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $401.59 | $3,038.00 | $4,387.00 | |
United
| Facility | $1,292.00 | $4,455.00 | $13,847.00 |