| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.34 | $129.34 | $129.34 | |
Aetna
| Professional | $129.34 | $129.34 | $228.74 | |
Molina
| Professional | $45.00 | $45.00 | $168.53 |
Alveoloplsty Not Cnjnc Xtrct 1-3 Teeth/Spce Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.34 | $129.34 | $129.34 | |
Aetna
| Professional | $129.34 | $129.34 | $228.74 | |
Molina
| Professional | $45.00 | $45.00 | $168.53 |