| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.36 | $176.36 | $8,500.00 | |
Medica
| Facility | $176.36 | $271.64 | $335.94 |
Autograft Spine Surgery Bicort/Tricort Sep Inc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.36 | $176.36 | $8,500.00 | |
Medica
| Facility | $176.36 | $271.64 | $335.94 |