| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.97 | $1,125.65 | $3,604.35 | |
United
| Facility | $130.00 | $328.00 | $768.00 |
Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.97 | $1,125.65 | $3,604.35 | |
United
| Facility | $130.00 | $328.00 | $768.00 |