| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.92 | $203.92 | $203.92 | |
Aetna
| Professional | $89.23 | $203.92 | $203.92 | |
Anthem BCBS
| Professional | $109.73 | $148.71 | $535.33 |
Bone Replcmt Graft Ridge Preservation Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.92 | $203.92 | $203.92 | |
Aetna
| Professional | $89.23 | $203.92 | $203.92 | |
Anthem BCBS
| Professional | $109.73 | $148.71 | $535.33 |