| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.04 | $163.60 | $195.51 | |
Aetna
| Professional | $138.13 | $163.60 | $195.51 |
Alveoloplasty Not 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 | $145.04 | $163.60 | $195.51 | |
Aetna
| Professional | $138.13 | $163.60 | $195.51 |