| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $802.02 | $1,254.21 | $2,600.00 | |
CareSource
| Facility | $870.57 | $971.29 | $1,058.24 | |
Cigna
| Facility | $932.94 | $932.94 | $932.94 | |
Cigna
| Facility | AS | $92.31 | $92.31 | $92.31 |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $802.02 | $1,254.21 | $2,600.00 | |
CareSource
| Facility | $870.57 | $971.29 | $1,058.24 | |
Cigna
| Facility | $932.94 | $932.94 | $932.94 | |
Cigna
| Facility | AS | $92.31 | $92.31 | $92.31 |