| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.78 | $760.78 | $8,500.00 | |
Medica
| Facility | $760.78 | $1,059.33 | $1,293.33 |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.78 | $760.78 | $8,500.00 | |
Medica
| Facility | $760.78 | $1,059.33 | $1,293.33 |