| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.00 | $936.00 | $1,831.00 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 |
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 | $415.00 | $936.00 | $1,831.00 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 |