| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,635.55 | $2,747.00 | $5,484.00 | |
Kaiser Permanente
| Professional | $295.02 | $321.85 | $375.49 | |
United
| Facility | $2,155.00 | $2,155.00 | $2,155.00 |
Bone graft, any donor area; major or large
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,635.55 | $2,747.00 | $5,484.00 | |
Kaiser Permanente
| Professional | $295.02 | $321.85 | $375.49 | |
United
| Facility | $2,155.00 | $2,155.00 | $2,155.00 |