| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $1,288.25 | $1,288.25 | |
Aetna
| Professional | $123.03 | $186.21 | $239.88 |
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 | $75.86 | $1,288.25 | $1,288.25 | |
Aetna
| Professional | $123.03 | $186.21 | $239.88 |