| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $602.56 | $602.56 | $602.56 | |
United
| Facility | $144.54 | $144.54 | $501.19 |
Unlisted maxillofacial prosthetic procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $602.56 | $602.56 | $602.56 | |
United
| Facility | $144.54 | $144.54 | $501.19 |