| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.19 | $803.00 | $2,812.00 | |
BCBS
| Facility | $210.54 | $210.54 | $252.65 | |
Cigna
| Facility | $116.28 | $116.28 | $116.28 | |
United
| Facility | $130.00 | $345.00 | $768.00 |
Closed treatment of temporomandibular dislocation; initial or subsequent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.19 | $803.00 | $2,812.00 | |
BCBS
| Facility | $210.54 | $210.54 | $252.65 | |
Cigna
| Facility | $116.28 | $116.28 | $116.28 | |
United
| Facility | $130.00 | $345.00 | $768.00 |