| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.26 | $398.26 | $2,000.00 | |
Medica
| Facility | $254.26 | $406.30 | $762.78 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Alveoloplasty, each quadrant (specify)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.26 | $398.26 | $2,000.00 | |
Medica
| Facility | $254.26 | $406.30 | $762.78 | |
United
| Facility | $681.00 | $681.00 | $681.00 |