| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.91 | $1.91 | $1.91 | |
BCBS
| Facility | $3,019.95 | $3,019.95 | $3,715.35 |
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 | $1.91 | $1.91 | $1.91 | |
BCBS
| Facility | $3,019.95 | $3,019.95 | $3,715.35 |