| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.50 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $32.89 | $158.94 | $187.43 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |
Closed treatment of temporomandibular dislocation; initial or subsequent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.50 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $32.89 | $158.94 | $187.43 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |