| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,323.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $296.69 | $619.77 | $619.77 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |
Bone Graft Any Donor Area Major/Large
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,323.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $296.69 | $619.77 | $619.77 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |