| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $348.69 | $357.27 | $357.27 | |
Anthem BCBS
| Professional | $343.06 | $377.00 | $487.97 | |
Harvard Pilgrim
| Professional | $407.82 | $809.03 | $1,343.40 |
Osseous Surg 1-3 Contig/Tooth Bound Spaces-Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $348.69 | $357.27 | $357.27 | |
Anthem BCBS
| Professional | $343.06 | $377.00 | $487.97 | |
Harvard Pilgrim
| Professional | $407.82 | $809.03 | $1,343.40 |