| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $933.25 | $1,995.26 | |
BCBS
| Facility | $141.25 | $141.25 | $141.25 | |
Cigna
| Facility | $120.23 | $134.90 | $223.87 | |
United
| Facility | $223.87 | $537.03 | $1,621.81 |
Closed treatment of temporomandibular dislocation; initial or subsequent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $933.25 | $1,995.26 | |
BCBS
| Facility | $141.25 | $141.25 | $141.25 | |
Cigna
| Facility | $120.23 | $134.90 | $223.87 | |
United
| Facility | $223.87 | $537.03 | $1,621.81 |