| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $3,311.31 | $9,332.54 | |
Cigna
| Facility | $34.67 | $309.03 | $323.59 | |
Cigna
| Facility | AS | $30.90 | $30.90 | $30.90 |
United
| Facility | $2,630.27 | $7,943.28 | $12,022.64 |
Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (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 | $660.69 | $3,311.31 | $9,332.54 | |
Cigna
| Facility | $34.67 | $309.03 | $323.59 | |
Cigna
| Facility | AS | $30.90 | $30.90 | $30.90 |
United
| Facility | $2,630.27 | $7,943.28 | $12,022.64 |