| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $684.07 | $684.07 | $684.07 | |
Providence
| Facility | $336.28 | $363.65 | $684.07 |
Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $684.07 | $684.07 | $684.07 | |
Providence
| Facility | $336.28 | $363.65 | $684.07 |