| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $19,720.00 | $32,902.00 | $53,197.00 | |
United
| Facility | $6,402.00 | $27,572.00 | $54,001.00 |
Aftercare, Muscskl Syst & Conn Tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $19,720.00 | $32,902.00 | $53,197.00 | |
United
| Facility | $6,402.00 | $27,572.00 | $54,001.00 |