| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $292.33 | $475.49 | $1,400.00 | |
CareSource
| Facility | $331.43 | $401.19 | $552.35 | |
Cigna
| Facility | $354.91 | $354.91 | $354.91 |
Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $292.33 | $475.49 | $1,400.00 | |
CareSource
| Facility | $331.43 | $401.19 | $552.35 | |
Cigna
| Facility | $354.91 | $354.91 | $354.91 |