| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,052.74 | $1,052.74 | $8,500.00 | |
Medica
| Facility | $1,052.74 | $1,371.30 | $1,804.21 |
Dural Graft Spinal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,052.74 | $1,052.74 | $8,500.00 | |
Medica
| Facility | $1,052.74 | $1,371.30 | $1,804.21 |