| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.23 | $89.23 | $98.15 | |
Providence
| Facility | $151.16 | $151.16 | $151.16 | |
Providence
| Professional | $443.84 | $665.83 | $960.40 |
Bone Replcmt Graft Ridge Preservation Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.23 | $89.23 | $98.15 | |
Providence
| Facility | $151.16 | $151.16 | $151.16 | |
Providence
| Professional | $443.84 | $665.83 | $960.40 |