| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.15 | $5,982.00 | $11,260.00 | |
Horizon BCBS
| Facility | $17,367.83 | $17,367.83 | $33,122.22 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |
Bone Graft Any Donor Area Major/Large
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.15 | $5,982.00 | $11,260.00 | |
Horizon BCBS
| Facility | $17,367.83 | $17,367.83 | $33,122.22 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |