| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,376.29 | $10,376.29 | $10,376.29 | |
Martin's Point
| Facility | $10,376.29 | $10,376.29 | $10,376.29 |
Arthrp Temporomandibular Joint W/Wo Autograft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,376.29 | $10,376.29 | $10,376.29 | |
Martin's Point
| Facility | $10,376.29 | $10,376.29 | $10,376.29 |