| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $641.21 | $641.21 | $1,335.00 | |
Kaiser Permanente
| Professional | $342.19 | $456.93 | $699.38 | |
United
| Facility | $173.00 | $173.00 | $471.00 |
Ostpl Rcnstj Dorsal Spi Elmnts Flwg Ispi Px
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $641.21 | $641.21 | $1,335.00 | |
Kaiser Permanente
| Professional | $342.19 | $456.93 | $699.38 | |
United
| Facility | $173.00 | $173.00 | $471.00 |