| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.44 | $4,134.00 | $9,842.00 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |
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 | $118.44 | $4,134.00 | $9,842.00 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |