| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,187.76 | $3,388.44 | $18,197.01 | |
U of Utah Health Plan
| Professional | $204.17 | $251.19 | $380.19 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |
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 | $2,187.76 | $3,388.44 | $18,197.01 | |
U of Utah Health Plan
| Professional | $204.17 | $251.19 | $380.19 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |