| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.51 | $278.51 | $8,500.00 | |
Medica
| Facility | $278.51 | $449.87 | $835.53 |
Bone Graft Any Donor Area Major/Large
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.51 | $278.51 | $8,500.00 | |
Medica
| Facility | $278.51 | $449.87 | $835.53 |