| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.16 | $118.49 | $2,000.00 | |
Medica
| Facility | $31.16 | $118.49 | $239.72 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,978.00 |
Closed treatment of temporomandibular dislocation; initial or subsequent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.16 | $118.49 | $2,000.00 | |
Medica
| Facility | $31.16 | $118.49 | $239.72 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,978.00 |