| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $489.78 | $602.56 | $676.08 | |
Medica
| Facility | $338.84 | $338.84 | $602.56 | |
Medica
| Professional | $1,621.81 | $1,621.81 | $1,621.81 |
Rad S&I Perq Vrtpls/Sacrplsty Per Vrt Body Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $489.78 | $602.56 | $676.08 | |
Medica
| Facility | $338.84 | $338.84 | $602.56 | |
Medica
| Professional | $1,621.81 | $1,621.81 | $1,621.81 |