| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.75 | $316.75 | $316.75 | |
Aetna
| Professional | $277.27 | $316.75 | $374.17 | |
Molina
| Professional | $45.00 | $45.00 | $549.25 |
Pedicle Soft Tissue Graft Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.75 | $316.75 | $316.75 | |
Aetna
| Professional | $277.27 | $316.75 | $374.17 | |
Molina
| Professional | $45.00 | $45.00 | $549.25 |