| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $225.58 | $1,000.00 | $1,000.00 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 |
Unlisted Maxillofacial Prosthetic Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $225.58 | $1,000.00 | $1,000.00 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 |