| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $696.10 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $281.01 | $1,272.58 | $2,695.55 | |
Providence
| Facility | $302.27 | $1,272.58 | $2,695.55 |
Alveoloplasty Each Quadrant Specify
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $696.10 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $281.01 | $1,272.58 | $2,695.55 | |
Providence
| Facility | $302.27 | $1,272.58 | $2,695.55 |