| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $260.94 | $264.85 | $326.49 | |
Moda Health
| Facility | $208.89 | $314.89 | $417.91 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 |
Osseous Surg 1-3 Contig/Tooth Bound Spaces-Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $260.94 | $264.85 | $326.49 | |
Moda Health
| Facility | $208.89 | $314.89 | $417.91 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 |