| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,419.20 | $3,419.20 | $3,419.20 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 |
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 | $3,419.20 | $3,419.20 | $3,419.20 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 |