| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.62 | $263.38 | $1,400.00 | |
CareSource
| Facility | $177.22 | $203.96 | $222.22 | |
Cigna
| Facility | $189.31 | $189.31 | $189.31 | |
Cigna
| Facility | AS | $18.57 | $18.57 | $18.57 |
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 | $168.62 | $263.38 | $1,400.00 | |
CareSource
| Facility | $177.22 | $203.96 | $222.22 | |
Cigna
| Facility | $189.31 | $189.31 | $189.31 | |
Cigna
| Facility | AS | $18.57 | $18.57 | $18.57 |