| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,878.91 | $3,392.26 | $19,582.00 | |
Aetna
| Professional | $3,785.51 | $5,160.84 | $16,190.11 | |
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 | $1,878.91 | $3,392.26 | $19,582.00 | |
Aetna
| Professional | $3,785.51 | $5,160.84 | $16,190.11 | |
Cigna
| Professional | $3,467.91 | $3,467.91 | $3,467.91 |