| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,130.61 | $6,200.00 | $11,298.00 | |
Horizon BCBS
| Facility | $11,989.59 | $14,382.16 | $27,428.23 | |
United
| Facility | $5,682.00 | $9,969.00 | $19,696.00 |
Arthrp Temporomandibular Joint W/Wo Autograft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,130.61 | $6,200.00 | $11,298.00 | |
Horizon BCBS
| Facility | $11,989.59 | $14,382.16 | $27,428.23 | |
United
| Facility | $5,682.00 | $9,969.00 | $19,696.00 |