| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.25 | $164.25 | $164.25 | |
Aetna
| Professional | $109.39 | $164.25 | $164.25 | |
BCBS
| Facility | $2,559.86 | $3,106.51 | $4,179.26 | |
BCBS
| Professional | $90.52 | $124.00 | $146.32 |
Alveoloplsty Conjnc Xtract 1-3 Teeth/Spaces Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.25 | $164.25 | $164.25 | |
Aetna
| Professional | $109.39 | $164.25 | $164.25 | |
BCBS
| Facility | $2,559.86 | $3,106.51 | $4,179.26 | |
BCBS
| Professional | $90.52 | $124.00 | $146.32 |