| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $16,022.90 | $16,022.90 | $16,022.90 | |
Priority Health
| Facility | $16,022.90 | $16,022.90 | $16,022.90 |
Level 4 Musculoskeletal Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $16,022.90 | $16,022.90 | $16,022.90 | |
Priority Health
| Facility | $16,022.90 | $16,022.90 | $16,022.90 |