| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.45 | $86.45 | $86.45 | |
Aetna
| Professional | $78.65 | $86.45 | $140.21 |
Alveoloplsty Conjnc Xtract 1-3 Teeth/Spaces Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.45 | $86.45 | $86.45 | |
Aetna
| Professional | $78.65 | $86.45 | $140.21 |