| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $245.47 | $245.47 | |
United
| Facility | $181.97 | $794.33 | $1,737.80 |
Unlisted maxillofacial prosthetic procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $245.47 | $245.47 | |
United
| Facility | $181.97 | $794.33 | $1,737.80 |