| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.21 | $107.38 | $128.33 | |
Aetna
| Professional | $88.31 | $107.38 | $128.33 |
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
| Facility | $95.21 | $107.38 | $128.33 | |
Aetna
| Professional | $88.31 | $107.38 | $128.33 |