| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $328.68 | $332.41 | $374.75 | |
CareFirst
| Professional | $478.80 | $478.80 | $612.86 | |
Kaiser Permanente
| Professional | $387.50 | $499.88 | $868.55 |
Autogenous Connective Tissue Graft Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $328.68 | $332.41 | $374.75 | |
CareFirst
| Professional | $478.80 | $478.80 | $612.86 | |
Kaiser Permanente
| Professional | $387.50 | $499.88 | $868.55 |