| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.91 | $406.91 | $406.91 | |
Aetna
| Professional | $124.82 | $169.91 | $406.91 | |
Anthem BCBS
| Professional | $176.75 | $229.90 | $538.86 |
Bone Repl Graft - Ret Nat Tooth - 1st Site Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.91 | $406.91 | $406.91 | |
Aetna
| Professional | $124.82 | $169.91 | $406.91 | |
Anthem BCBS
| Professional | $176.75 | $229.90 | $538.86 |