| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $1,023.29 | $6,456.54 | |
Medica
| Facility | $275.42 | $446.68 | $1,202.26 | |
United
| Facility | $4,677.35 | $5,128.61 | $14,125.38 |
Bone graft, any donor area; major or large
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $1,023.29 | $6,456.54 | |
Medica
| Facility | $275.42 | $446.68 | $1,202.26 | |
United
| Facility | $4,677.35 | $5,128.61 | $14,125.38 |