| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $236.14 | $249.83 | $268.47 | |
CareFirst
| Professional | $505.80 | $505.80 | $647.41 | |
Kaiser Permanente
| Professional | $290.86 | $375.21 | $612.20 |
Osseous Surg 1-3 Contig/Tooth Bound Spaces-Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $236.14 | $249.83 | $268.47 | |
CareFirst
| Professional | $505.80 | $505.80 | $647.41 | |
Kaiser Permanente
| Professional | $290.86 | $375.21 | $612.20 |