| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,109.00 | $3,706.14 | $3,955.04 | |
United
| Facility | $2,838.00 | $5,111.00 | $9,622.00 |
Bone Graft Any Donor Area Major/Large
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,109.00 | $3,706.14 | $3,955.04 | |
United
| Facility | $2,838.00 | $5,111.00 | $9,622.00 |