| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.31 | $183.07 | $218.79 | |
Aetna
| Professional | $162.31 | $183.07 | $218.79 | |
BCBS
| Professional | $247.06 | $284.29 | $289.98 |
Bone Repl Graft - Ret Nat Tooth - 1st Site Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.31 | $183.07 | $218.79 | |
Aetna
| Professional | $162.31 | $183.07 | $218.79 | |
BCBS
| Professional | $247.06 | $284.29 | $289.98 |