| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,790.42 | $2,790.42 | $2,790.42 | |
Providence
| Facility | $1,379.30 | $1,490.28 | $2,790.42 |
Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,790.42 | $2,790.42 | $2,790.42 | |
Providence
| Facility | $1,379.30 | $1,490.28 | $2,790.42 |