| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $228.83 | $256.04 | $374.17 | |
Medica
| Facility | $242.56 | $336.07 | $509.66 | |
Medica
| Professional | $1,819.54 | $1,819.54 | $1,819.54 |
Pedicle Soft Tissue Graft Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $228.83 | $256.04 | $374.17 | |
Medica
| Facility | $242.56 | $336.07 | $509.66 | |
Medica
| Professional | $1,819.54 | $1,819.54 | $1,819.54 |