| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $277.27 | $309.30 | $374.17 | |
Moda Health
| Facility | $277.27 | $360.77 | $478.94 | |
Molina
| Professional | $30.00 | $3,500.00 | $3,900.00 |
Pedicle Soft Tissue Graft Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $277.27 | $309.30 | $374.17 | |
Moda Health
| Facility | $277.27 | $360.77 | $478.94 | |
Molina
| Professional | $30.00 | $3,500.00 | $3,900.00 |