| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,020.21 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,004.26 | $5,122.37 | $7,171.32 | |
Providence
| Facility | $1,004.26 | $5,122.37 | $7,171.32 |
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,020.21 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,004.26 | $5,122.37 | $7,171.32 | |
Providence
| Facility | $1,004.26 | $5,122.37 | $7,171.32 |