| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $326.45 | $326.45 | $326.45 | |
Aetna
| Professional | $263.51 | $326.45 | $326.45 | |
BCBS
| Professional | $588.00 | $592.41 | $696.95 | |
Medica
| Facility | $326.45 | $340.55 | $979.38 |
Pedicle Soft Tissue Graft Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $326.45 | $326.45 | $326.45 | |
Aetna
| Professional | $263.51 | $326.45 | $326.45 | |
BCBS
| Professional | $588.00 | $592.41 | $696.95 | |
Medica
| Facility | $326.45 | $340.55 | $979.38 |