| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.94 | $251.94 | $251.94 | |
Aetna
| Professional | $229.48 | $251.94 | $251.94 |
Osseous Surgery (Including Elevation Of A Full Thickness Flap And Closure) - One To Three Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.94 | $251.94 | $251.94 | |
Aetna
| Professional | $229.48 | $251.94 | $251.94 |