| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $467.31 | $467.31 | $467.31 | |
BCBS
| Professional | $210.00 | $210.00 | $210.00 |
Bone Replcmt Graft Ridge Preservation Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $467.31 | $467.31 | $467.31 | |
BCBS
| Professional | $210.00 | $210.00 | $210.00 |