| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,119.20 | $1,821.00 | $3,109.00 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 |
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 | $1,119.20 | $1,821.00 | $3,109.00 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 |