| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $917.21 | $3,119.93 | $8,070.45 | |
Martin's Point
| Facility | $917.21 | $3,119.93 | $8,070.45 |
Bone graft, any donor area; major or large
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $917.21 | $3,119.93 | $8,070.45 | |
Martin's Point
| Facility | $917.21 | $3,119.93 | $8,070.45 |