| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $938.63 | $985.62 | $1,153.25 | |
Cigna
| Professional | $876.68 | $1,026.14 | $2,074.14 | |
United
| Professional | $892.78 | $1,152.61 | $2,413.86 |
Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $938.63 | $985.62 | $1,153.25 | |
Cigna
| Professional | $876.68 | $1,026.14 | $2,074.14 | |
United
| Professional | $892.78 | $1,152.61 | $2,413.86 |