| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,926.77 | $6,926.77 | $6,926.77 | |
Aetna
| Professional | $3,162.00 | $7,628.18 | $8,376.29 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 |
Unlisted Procedure Dentoalveolar Structures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,926.77 | $6,926.77 | $6,926.77 | |
Aetna
| Professional | $3,162.00 | $7,628.18 | $8,376.29 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 |