| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $5,509.46 | $8,449.57 | |
CareSource
| Facility | $5,734.47 | $6,543.56 | $7,129.32 |
Lvr Altrnsplj Orthotopic Prtl/Whl Don Any Age
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $5,509.46 | $8,449.57 | |
CareSource
| Facility | $5,734.47 | $6,543.56 | $7,129.32 |