| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,835.00 | $6,835.00 | $6,907.00 | |
United
| Facility | $5,170.00 | $5,170.00 | $5,170.00 |
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,835.00 | $6,835.00 | $6,907.00 | |
United
| Facility | $5,170.00 | $5,170.00 | $5,170.00 |