| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,258.93 | $1,288.25 | $1,412.54 | |
Molina
| Professional | $831.76 | $912.01 | $912.01 |
Cltx Pel Ring Fx Dislc Diast/Sublxtj W/O Manj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,258.93 | $1,288.25 | $1,412.54 | |
Molina
| Professional | $831.76 | $912.01 | $912.01 |