| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.96 | $366.31 | $1,400.00 | |
CareSource
| Facility | $238.92 | $261.81 | $312.36 | |
Cigna
| Facility | $419.81 | $419.81 | $419.81 |
Alveoloplasty, each quadrant (specify)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.96 | $366.31 | $1,400.00 | |
CareSource
| Facility | $238.92 | $261.81 | $312.36 | |
Cigna
| Facility | $419.81 | $419.81 | $419.81 |