| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,905.46 | $1,905.46 | $2,089.30 | |
Molina
| Professional | $1,230.27 | $1,230.27 | $1,348.96 |
Cltx Pel Ring Fx Dislc Diast/Sublxtj W/Manj Anes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,905.46 | $1,905.46 | $2,089.30 | |
Molina
| Professional | $1,230.27 | $1,230.27 | $1,348.96 |