| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $3,630.78 | $8,128.31 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $165.96 | $346.74 | $1,258.93 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 |
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $3,630.78 | $8,128.31 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $165.96 | $346.74 | $1,258.93 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 |