| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $395.92 | $395.92 | $543.60 |
Bone Replacement Graft For Ridge Preservation - Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $395.92 | $395.92 | $543.60 |