| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $223.87 | $1,000.00 | $1,000.00 | |
Molina
| Professional | $21.38 | $25.12 | $50.12 | |
United
| Facility | $223.87 | $537.03 | $1,621.81 |
Unlisted maxillofacial prosthetic procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $223.87 | $1,000.00 | $1,000.00 | |
Molina
| Professional | $21.38 | $25.12 | $50.12 | |
United
| Facility | $223.87 | $537.03 | $1,621.81 |