| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,570.40 | $2,570.40 | $2,570.40 | |
Lucent Health
| Facility | $64.57 | $1,071.52 | $1,148.15 | |
Lucent Health
| Professional | $1,148.15 | $1,148.15 | $1,148.15 |
Lower extremity prosthesis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,570.40 | $2,570.40 | $2,570.40 | |
Lucent Health
| Facility | $64.57 | $1,071.52 | $1,148.15 | |
Lucent Health
| Professional | $1,148.15 | $1,148.15 | $1,148.15 |