| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,559.00 | $2,559.00 | $2,559.00 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $199.80 | $909.60 | $14,970.00 |
Lower Extremi Prosthes, Not Otherwise Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,559.00 | $2,559.00 | $2,559.00 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $199.80 | $909.60 | $14,970.00 |