| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.39 | $258.39 | $7,838.38 | |
BCBS
| Facility | $116.50 | $427.20 | $696.12 | |
Providence
| Facility | $34.86 | $99.35 | $149.08 | |
United
| Facility | $230.00 | $1,158.00 | $1,327.00 |
Closed treatment of temporomandibular dislocation; initial or subsequent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.39 | $258.39 | $7,838.38 | |
BCBS
| Facility | $116.50 | $427.20 | $696.12 | |
Providence
| Facility | $34.86 | $99.35 | $149.08 | |
United
| Facility | $230.00 | $1,158.00 | $1,327.00 |