| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $595.40 | $944.96 | $1,400.00 | |
CareSource
| Facility | $609.84 | $661.56 | $797.31 | |
Cigna
| Facility | $1,060.80 | $1,060.80 | $1,060.80 |
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 | $595.40 | $944.96 | $1,400.00 | |
CareSource
| Facility | $609.84 | $661.56 | $797.31 | |
Cigna
| Facility | $1,060.80 | $1,060.80 | $1,060.80 |