| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $706.49 | $706.49 | $6,907.00 | |
Cigna
| Facility | $3,851.90 | $3,851.90 | $3,851.90 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 |
Bone Graft Any Donor Area Major/Large
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $706.49 | $706.49 | $6,907.00 | |
Cigna
| Facility | $3,851.90 | $3,851.90 | $3,851.90 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 |