| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $257.54 | $1,362.00 | $1,906.80 | |
Providence
| Facility | $257.54 | $1,362.00 | $1,906.80 |
Bone graft, any donor area; major or large
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $257.54 | $1,362.00 | $1,906.80 | |
Providence
| Facility | $257.54 | $1,362.00 | $1,906.80 |