| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.67 | $646.94 | $1,600.00 | |
CareSource
| Facility | $456.50 | $456.50 | $545.86 | |
Cigna
| Facility | $491.30 | $491.30 | $491.30 | |
Cigna
| Facility | AS | $48.50 | $48.50 | $48.50 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $423.67 | $646.94 | $1,600.00 | |
CareSource
| Facility | $456.50 | $456.50 | $545.86 | |
Cigna
| Facility | $491.30 | $491.30 | $491.30 | |
Cigna
| Facility | AS | $48.50 | $48.50 | $48.50 |