| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,133.30 | $1,421.95 | $1,749.31 | |
Cigna
| Professional | $1,156.78 | $1,639.92 | $2,888.33 | |
United
| Professional | $1,340.02 | $2,013.40 | $3,623.07 |
Impression and custom preparation; mandibular resection prosthesis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,133.30 | $1,421.95 | $1,749.31 | |
Cigna
| Professional | $1,156.78 | $1,639.92 | $2,888.33 | |
United
| Professional | $1,340.02 | $2,013.40 | $3,623.07 |