| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $469.09 | $469.09 | $469.09 | |
Aetna
| Professional | $312.16 | $427.56 | $469.09 |
Osseous Surg 4/> Contig/Tooth Bound Spaces-Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $469.09 | $469.09 | $469.09 | |
Aetna
| Professional | $312.16 | $427.56 | $469.09 |