| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.69 | $145.16 | $157.11 | |
CareFirst
| Professional | $187.20 | $271.00 | $287.26 | |
Kaiser Permanente
| Professional | $182.61 | $236.21 | $307.56 |
Bone Repl Gr - Ret Nat Tooth - Ea Add Site Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.69 | $145.16 | $157.11 | |
CareFirst
| Professional | $187.20 | $271.00 | $287.26 | |
Kaiser Permanente
| Professional | $182.61 | $236.21 | $307.56 |