| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,088.00 | $3,689.00 | $8,800.00 | |
CareSource
| Facility | $1,061.15 | $1,061.15 | $1,591.74 | |
Molina
| Professional | $226.54 | $271.84 | $305.82 |
Tissue Grafts Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,088.00 | $3,689.00 | $8,800.00 | |
CareSource
| Facility | $1,061.15 | $1,061.15 | $1,591.74 | |
Molina
| Professional | $226.54 | $271.84 | $305.82 |