| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $188.74 | $196.05 | $234.97 | |
BCBS
| Professional | $418.00 | $418.00 | $418.00 |
Bone Replacement Graft - Retained Natural Tooth - First Site In Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $188.74 | $196.05 | $234.97 | |
BCBS
| Professional | $418.00 | $418.00 | $418.00 |