| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $948.50 | $948.50 | $8,500.00 | |
Medica
| Facility | $948.50 | $1,465.28 | $1,998.61 |
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 | $948.50 | $948.50 | $8,500.00 | |
Medica
| Facility | $948.50 | $1,465.28 | $1,998.61 |