| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.88 | $590.04 | $5,000.00 | |
Medica
| Facility | $478.88 | $644.72 | $1,039.97 |
Fascia Lata Graft Incision & Area Exposure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.88 | $590.04 | $5,000.00 | |
Medica
| Facility | $478.88 | $644.72 | $1,039.97 |