| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $568.39 | $568.39 | $568.39 | |
Providence
| Facility | $281.05 | $386.44 | $568.39 |
Osteot Spi Pst/Pstlat Appr 1 Vrt Sgm Ea Vrt Sgm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $568.39 | $568.39 | $568.39 | |
Providence
| Facility | $281.05 | $386.44 | $568.39 |