| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.67 | $24.67 | $24.67 | |
Aetna
| Professional | $24.67 | $24.67 | $44.25 | |
Cigna
| Facility | $117.48 | $121.80 | $196.03 | |
United
| Professional | $39.25 | $46.46 | $73.73 |
Radiologic examination, radiostereometric analysis (RSA); spine, (includes cervical, thoracic and lumbosacral, when performed)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.67 | $24.67 | $24.67 | |
Aetna
| Professional | $24.67 | $24.67 | $44.25 | |
Cigna
| Facility | $117.48 | $121.80 | $196.03 | |
United
| Professional | $39.25 | $46.46 | $73.73 |