| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $280.06 | $280.06 | $280.06 | |
Providence
| Facility | $604.04 | $604.04 | $604.04 | |
Providence
| Professional | $280.47 | $420.76 | $606.90 |
Pedicle Soft Tissue Graft Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $280.06 | $280.06 | $280.06 | |
Providence
| Facility | $604.04 | $604.04 | $604.04 | |
Providence
| Professional | $280.47 | $420.76 | $606.90 |