| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $220.10 | $220.10 | $220.10 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $53.40 | $53.40 | $53.40 |
Addition to spinal orthosis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $220.10 | $220.10 | $220.10 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $53.40 | $53.40 | $53.40 |