| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,682.23 | $2,682.23 | $2,682.23 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $502.80 | $502.80 | $33,050.51 |
Upper Extremi Prosthes, Not Otherwise Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,682.23 | $2,682.23 | $2,682.23 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $502.80 | $502.80 | $33,050.51 |