| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $229.41 | $229.41 | $229.41 | |
Medica
| Facility | $900.00 | $900.00 | $900.00 |
Prosthetic implant, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $229.41 | $229.41 | $229.41 | |
Medica
| Facility | $900.00 | $900.00 | $900.00 |