| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $1,819.70 | $2,818.38 | |
Cigna
| Facility | $10,964.78 | $10,964.78 | $10,964.78 | |
United
| Facility | $630.96 | $1,380.38 | $4,073.80 |
Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $1,819.70 | $2,818.38 | |
Cigna
| Facility | $10,964.78 | $10,964.78 | $10,964.78 | |
United
| Facility | $630.96 | $1,380.38 | $4,073.80 |