| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $215.59 | $215.59 | $215.59 | |
BCBS
| Professional | $313.00 | $313.00 | $313.00 |
Alveoloplsty Not Cnjnc Xtrct 1-3 Teeth/Spce Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $215.59 | $215.59 | $215.59 | |
BCBS
| Professional | $313.00 | $313.00 | $313.00 |