| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.82 | $232.29 | $238.28 | |
Anthem BCBS
| Professional | $209.00 | $238.01 | $325.55 | |
Harvard Pilgrim
| Professional | $271.88 | $427.20 | $839.16 |
Bone Replacement Graft - Retained Natural Tooth - First Site In Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.82 | $232.29 | $238.28 | |
Anthem BCBS
| Professional | $209.00 | $238.01 | $325.55 | |
Harvard Pilgrim
| Professional | $271.88 | $427.20 | $839.16 |