| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $1,000.00 | $2,290.87 | |
United
| Facility | $1,230.27 | $2,290.87 | $5,623.41 |
Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $1,000.00 | $2,290.87 | |
United
| Facility | $1,230.27 | $2,290.87 | $5,623.41 |