| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $328.95 | $328.95 | $328.95 | |
Aetna
| Professional | $195.98 | $328.95 | $328.95 | |
Anthem BCBS
| Professional | $148.75 | $217.28 | $373.05 |
Alveoloplsty Not Cnjnc Xtrct 1-3 Teeth/Spce Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $328.95 | $328.95 | $328.95 | |
Aetna
| Professional | $195.98 | $328.95 | $328.95 | |
Anthem BCBS
| Professional | $148.75 | $217.28 | $373.05 |