| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.79 | $0.79 | $0.79 | |
Emblem Health
| Professional | $38,018.94 | $38,018.94 | $38,018.94 | |
United
| Facility | $53.70 | $53.70 | $53.70 |
Unlisted procedure for miscellaneous prosthetic services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.79 | $0.79 | $0.79 | |
Emblem Health
| Professional | $38,018.94 | $38,018.94 | $38,018.94 | |
United
| Facility | $53.70 | $53.70 | $53.70 |