| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $48.90 | $48.90 | $48.90 | |
Providence
| Facility | $24.51 | $49.22 | $148.63 | |
United
| Facility | $167.81 | $167.81 | $167.81 |
Closed Tx Temporomandibular Dislocation 1st/Sbsq
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $48.90 | $48.90 | $48.90 | |
Providence
| Facility | $24.51 | $49.22 | $148.63 | |
United
| Facility | $167.81 | $167.81 | $167.81 |