| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $124,083.75 | $124,083.75 | $124,083.75 | |
Providence
| Facility | $46,685.04 | $46,685.04 | $124,083.75 |
Single 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 | $124,083.75 | $124,083.75 | $124,083.75 | |
Providence
| Facility | $46,685.04 | $46,685.04 | $124,083.75 |