| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,707.27 | $1,707.27 | $1,707.27 | |
Providence
| Facility | $833.85 | $911.52 | $1,707.27 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $1,707.27 | $1,707.27 | $1,707.27 | |
Providence
| Facility | $833.85 | $911.52 | $1,707.27 |