| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.47 | $937.32 | $2,010.00 | |
Cigna
| Facility | $10,477.79 | $10,477.79 | $10,477.79 | |
United
| Facility | $624.00 | $1,236.00 | $5,253.00 |
Ostpl Rcnstj Dorsal Spi Elmnts Flwg Ispi Px
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.47 | $937.32 | $2,010.00 | |
Cigna
| Facility | $10,477.79 | $10,477.79 | $10,477.79 | |
United
| Facility | $624.00 | $1,236.00 | $5,253.00 |