| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.79 | $83.79 | $83.79 | |
Aetna
| Professional | $76.66 | $83.79 | $503.70 |
Bone Replcmt Graft Ridge Preservation Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.79 | $83.79 | $83.79 | |
Aetna
| Professional | $76.66 | $83.79 | $503.70 |