| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $931.63 | $3,597.92 | $4,271.25 | |
Aetna
| Professional | $4,390.39 | $5,160.84 | $15,936.00 | |
Cigna
| Professional | $3,467.91 | $3,467.91 | $3,467.91 |
Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $931.63 | $3,597.92 | $4,271.25 | |
Aetna
| Professional | $4,390.39 | $5,160.84 | $15,936.00 | |
Cigna
| Professional | $3,467.91 | $3,467.91 | $3,467.91 |