| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,094.72 | $1,094.72 | $1,217.70 | |
Cigna
| Professional | $1,010.39 | $1,175.76 | $2,230.88 | |
United
| Professional | $1,026.48 | $1,365.54 | $2,742.62 |
Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,094.72 | $1,094.72 | $1,217.70 | |
Cigna
| Professional | $1,010.39 | $1,175.76 | $2,230.88 | |
United
| Professional | $1,026.48 | $1,365.54 | $2,742.62 |