| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $1,750.78 | $2,304.73 | $2,948.69 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |
Optx&/Rdctj Odntd Fx&/Dislc Ant Fixj W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $1,750.78 | $2,304.73 | $2,948.69 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |