| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,380.24 | $1,380.24 | $1,380.24 |
Cltx Pel Ring Fx Dislc Diast/Sublxtj W/Manj Anes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,380.24 | $1,380.24 | $1,380.24 |