| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,090.30 | $5,888.44 | $10,715.19 | |
Horizon BCBS
| Facility | $6,760.83 | $10,471.29 | $16,595.87 | |
United
| Facility | $2,951.21 | $6,606.93 | $10,964.78 |
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 | $3,090.30 | $5,888.44 | $10,715.19 | |
Horizon BCBS
| Facility | $6,760.83 | $10,471.29 | $16,595.87 | |
United
| Facility | $2,951.21 | $6,606.93 | $10,964.78 |