| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $230.22 | $415.73 | $669.42 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 | |
United
| Facility | $194.00 | $543.00 | $1,560.00 | |
United
| Professional | $138.72 | $138.72 | $141.58 |
Unlisted Maxillofacial Prosthetic Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $230.22 | $415.73 | $669.42 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 | |
United
| Facility | $194.00 | $543.00 | $1,560.00 | |
United
| Professional | $138.72 | $138.72 | $141.58 |