| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $649.39 | $3,031.07 | $5,139.60 | |
Providence
| Facility | $707.87 | $3,120.47 | $5,139.60 |
Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $649.39 | $3,031.07 | $5,139.60 | |
Providence
| Facility | $707.87 | $3,120.47 | $5,139.60 |