| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28,859.40 | $28,859.40 | $28,859.40 | |
Priority Health
| Facility | $28,859.40 | $28,859.40 | $28,859.40 |
Level 5 Musculoskeletal Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28,859.40 | $28,859.40 | $28,859.40 | |
Priority Health
| Facility | $28,859.40 | $28,859.40 | $28,859.40 |