| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,504.43 | $3,391.11 | $16,467.00 | |
Medcost
| Facility | $1,254.06 | $1,652.00 | $2,864.23 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
Secondary Rpr Dura Csf Leak Free Tissue Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,504.43 | $3,391.11 | $16,467.00 | |
Medcost
| Facility | $1,254.06 | $1,652.00 | $2,864.23 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |