| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,588.97 | $1,588.97 | $1,588.97 | |
Providence
| Facility | $781.76 | $1,074.92 | $1,588.97 |
Rcnstj Mndbl Xtroral W/Transosteal Bone Plate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,588.97 | $1,588.97 | $1,588.97 | |
Providence
| Facility | $781.76 | $1,074.92 | $1,588.97 |