| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.63 | $3,038.00 | $4,387.00 | |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 |
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 | $268.63 | $3,038.00 | $4,387.00 | |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 |