| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,085.48 | $1,085.48 | $8,500.00 | |
Medica
| Facility | $1,085.48 | $1,405.05 | $1,969.43 |
Arthrp Temporomandibular Joint W/Wo Autograft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,085.48 | $1,085.48 | $8,500.00 | |
Medica
| Facility | $1,085.48 | $1,405.05 | $1,969.43 |