| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.64 | $137.44 | $153.21 | |
Moda Health
| Facility | $72.98 | $145.69 | $196.11 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 |
Alveoloplasty In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces, Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.64 | $137.44 | $153.21 | |
Moda Health
| Facility | $72.98 | $145.69 | $196.11 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 |