| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $1,587.50 | $7,727.00 | |
CareFirst
| Professional | $2,300.00 | $3,562.00 | $6,000.00 | |
United
| Facility | $165.00 | $442.00 | $6,695.00 |
Unlisted Procedure Dentoalveolar Structures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $1,587.50 | $7,727.00 | |
CareFirst
| Professional | $2,300.00 | $3,562.00 | $6,000.00 | |
United
| Facility | $165.00 | $442.00 | $6,695.00 |