| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.44 | $182.69 | $211.06 | |
CareFirst
| Professional | $133.19 | $133.19 | $170.50 | |
Kaiser Permanente
| Professional | $246.01 | $317.35 | $428.92 |
Alveoloplsty Not Cnjnc Xtrct 1-3 Teeth/Spce Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.44 | $182.69 | $211.06 | |
CareFirst
| Professional | $133.19 | $133.19 | $170.50 | |
Kaiser Permanente
| Professional | $246.01 | $317.35 | $428.92 |