| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $0.90 | $208.21 | |
Martin's Point
| Facility | $0.90 | $0.90 | $0.90 |
Autograft Spine Surgery Morselized Sep Incision
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $0.90 | $208.21 | |
Martin's Point
| Facility | $0.90 | $0.90 | $0.90 |