| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $211.37 | $211.37 | $253.64 | |
Cigna
| Facility | $116.28 | $116.28 | $116.28 | |
United
| Facility | $130.00 | $328.00 | $768.00 |
Unlisted Maxillofacial Prosthetic Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $211.37 | $211.37 | $253.64 | |
Cigna
| Facility | $116.28 | $116.28 | $116.28 | |
United
| Facility | $130.00 | $328.00 | $768.00 |