| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.56 | $3,038.00 | $4,387.00 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |
Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, 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 | $216.56 | $3,038.00 | $4,387.00 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |