| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.15 | $187.15 | $187.15 | |
BCBS
| Facility | $252.00 | $252.00 | $252.00 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 |
Closed treatment of temporomandibular dislocation; initial or subsequent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.15 | $187.15 | $187.15 | |
BCBS
| Facility | $252.00 | $252.00 | $252.00 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 |