| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.19 | $535.14 | $1,400.00 | |
CareSource
| Facility | $351.71 | $414.42 | $451.52 | |
Cigna
| Facility | $374.93 | $374.93 | $374.93 |
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 | $312.19 | $535.14 | $1,400.00 | |
CareSource
| Facility | $351.71 | $414.42 | $451.52 | |
Cigna
| Facility | $374.93 | $374.93 | $374.93 |