| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.13 | $266.69 | $299.04 | |
Moda Health
| Facility | $146.16 | $282.69 | $382.77 | |
Molina
| Professional | $30.00 | $30.00 | $3,500.00 |
Guid Tissue Regen - Resorbable Barrier Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.13 | $266.69 | $299.04 | |
Moda Health
| Facility | $146.16 | $282.69 | $382.77 | |
Molina
| Professional | $30.00 | $30.00 | $3,500.00 |