| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.25 | $177.78 | $1,400.00 | |
CareSource
| Facility | $124.58 | $124.58 | $150.00 | |
Cigna
| Facility | $134.09 | $134.09 | $134.09 |
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 | $118.25 | $177.78 | $1,400.00 | |
CareSource
| Facility | $124.58 | $124.58 | $150.00 | |
Cigna
| Facility | $134.09 | $134.09 | $134.09 |