| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $385.94 | $385.94 | $385.94 | |
Providence
| Facility | $256.23 | $391.87 | $672.98 |
Alveoloplasty, each quadrant (specify)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $385.94 | $385.94 | $385.94 | |
Providence
| Facility | $256.23 | $391.87 | $672.98 |