| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.89 | $0.89 | $3,508.19 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $173.51 | $173.51 | $173.51 | |
Providence
| Facility | $85.83 | $118.02 | $173.51 |
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 | $0.89 | $0.89 | $3,508.19 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $173.51 | $173.51 | $173.51 | |
Providence
| Facility | $85.83 | $118.02 | $173.51 |