| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $189.07 | $202.40 | $228.74 | |
Moda Health
| Facility | $114.70 | $214.54 | $292.79 | |
Molina
| Professional | $30.00 | $2,000.00 | $3,900.00 |
Alveoloplsty Not Cnjnc Xtrct 1-3 Teeth/Spce Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $189.07 | $202.40 | $228.74 | |
Moda Health
| Facility | $114.70 | $214.54 | $292.79 | |
Molina
| Professional | $30.00 | $2,000.00 | $3,900.00 |