| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.86 | $34.86 | $1,250.00 | |
Aetna
| Professional | $34.86 | $87.55 | $420.11 |
Bone Replcmt Graft Ridge Preservation Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.86 | $34.86 | $1,250.00 | |
Aetna
| Professional | $34.86 | $87.55 | $420.11 |