| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.80 | $0.80 | $7.92 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |
Unlisted procedure for miscellaneous prosthetic services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.80 | $0.80 | $7.92 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |