| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.08 | $2,293.02 | $2,476.17 | |
Martin's Point
| Facility | $0.90 | $1,842.21 | $5,756.29 |
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 | $137.08 | $2,293.02 | $2,476.17 | |
Martin's Point
| Facility | $0.90 | $1,842.21 | $5,756.29 |