| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $155,561.01 | $155,561.01 | $155,561.01 | |
Providence
| Facility | $60,675.11 | $60,675.11 | $155,561.01 |
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody Fusion Device
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $155,561.01 | $155,561.01 | $155,561.01 | |
Providence
| Facility | $60,675.11 | $60,675.11 | $155,561.01 |