| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $740.37 | $740.37 | $10,000.00 | |
Medica
| Facility | $740.37 | $1,026.73 | $1,270.70 |
Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $740.37 | $740.37 | $10,000.00 | |
Medica
| Facility | $740.37 | $1,026.73 | $1,270.70 |