| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $220.10 | $220.10 | $220.10 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Addition To Spinal Orthosis Not Otherwise Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $220.10 | $220.10 | $220.10 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |