| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.50 | $209.50 | $209.50 | |
Aetna
| Professional | $124.34 | $209.50 | $209.50 | |
Anthem BCBS
| Professional | $69.70 | $132.69 | $269.43 |
Alveoloplsty Conjnc Xtract 1-3 Teeth/Spaces Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.50 | $209.50 | $209.50 | |
Aetna
| Professional | $124.34 | $209.50 | $209.50 | |
Anthem BCBS
| Professional | $69.70 | $132.69 | $269.43 |