| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $309.26 | $343.40 | $479.01 | |
Medica
| Facility | $327.80 | $437.26 | $688.80 | |
Medica
| Professional | $2,390.37 | $2,390.37 | $2,390.37 |
Autogenous Connective Tissue Graft Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $309.26 | $343.40 | $479.01 | |
Medica
| Facility | $327.80 | $437.26 | $688.80 | |
Medica
| Professional | $2,390.37 | $2,390.37 | $2,390.37 |