| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $803.80 | $803.80 | $8,500.00 | |
Medica
| Facility | $803.80 | $1,049.05 | $1,396.42 |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $803.80 | $803.80 | $8,500.00 | |
Medica
| Facility | $803.80 | $1,049.05 | $1,396.42 |