| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.69 | $198.40 | $203.07 | |
Anthem BCBS
| Professional | $118.00 | $203.33 | $277.94 | |
Harvard Pilgrim
| Professional | $231.90 | $364.38 | $715.76 |
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 | $198.40 | $203.07 | |
Anthem BCBS
| Professional | $118.00 | $203.33 | $277.94 | |
Harvard Pilgrim
| Professional | $231.90 | $364.38 | $715.76 |