| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.45 | $305.30 | $11,977.80 | |
Cigna
| Facility | $419.81 | $419.81 | $699.00 | |
Martin's Point
| Facility | $0.45 | $0.45 | $11,977.80 |
Alveoloplasty, each quadrant (specify)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.45 | $305.30 | $11,977.80 | |
Cigna
| Facility | $419.81 | $419.81 | $699.00 | |
Martin's Point
| Facility | $0.45 | $0.45 | $11,977.80 |