| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,175.78 | $12,104.88 | $13,325.71 | |
Aetna
| Professional | $3,162.00 | $7,628.18 | $8,376.29 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 |
Unlisted Procedure Dentoalveolar Structures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,175.78 | $12,104.88 | $13,325.71 | |
Aetna
| Professional | $3,162.00 | $7,628.18 | $8,376.29 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 |