| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.94 | $213.10 | $254.70 | |
Aetna
| Professional | $89.23 | $213.10 | $254.70 |
Bone Replacement Graft For Ridge Preservation - Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.94 | $213.10 | $254.70 | |
Aetna
| Professional | $89.23 | $213.10 | $254.70 |