| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $245.47 | $245.47 | |
BCBS
| Facility | $165.96 | $380.19 | $524.81 | |
United
| Facility | $436.52 | $1,412.54 | $6,456.54 |
Unlisted maxillofacial prosthetic procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $245.47 | $245.47 | |
BCBS
| Facility | $165.96 | $380.19 | $524.81 | |
United
| Facility | $436.52 | $1,412.54 | $6,456.54 |