| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.72 | $407.72 | $407.72 | |
Aetna
| Professional | $321.69 | $407.72 | $407.72 |
Autogenous Connective Tissue Graft Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.72 | $407.72 | $407.72 | |
Aetna
| Professional | $321.69 | $407.72 | $407.72 |