| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $3,090.30 | $8,128.31 | |
Martin's Point
| Facility | $912.01 | $3,090.30 | $8,128.31 |
Bone graft, any donor area; major or large
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $3,090.30 | $8,128.31 | |
Martin's Point
| Facility | $912.01 | $3,090.30 | $8,128.31 |