| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $359.64 | $405.64 | $484.78 | |
Aetna
| Professional | $359.64 | $405.64 | $484.78 | |
BCBS
| Professional | $368.60 | $424.16 | $432.64 |
Autogenous Connective Tissue Graft Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $359.64 | $405.64 | $484.78 | |
Aetna
| Professional | $359.64 | $405.64 | $484.78 | |
BCBS
| Professional | $368.60 | $424.16 | $432.64 |