| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.96 | $162.18 | $195.90 | |
BCBS
| Professional | $331.00 | $331.00 | $331.00 |
Bone Replacement Graft - Retained Natural Tooth - Each Additional Site In Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.96 | $162.18 | $195.90 | |
BCBS
| Professional | $331.00 | $331.00 | $331.00 |