| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,318.96 | $4,387.00 | $10,458.00 | |
Regence BlueShield
| Facility | $19,947.45 | $24,875.82 | $35,712.80 | |
United
| Facility | $3,028.00 | $9,753.00 | $15,824.00 |
Optx&/Rdctj Odntd Fx&/Dislc Ant Fixj W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,318.96 | $4,387.00 | $10,458.00 | |
Regence BlueShield
| Facility | $19,947.45 | $24,875.82 | $35,712.80 | |
United
| Facility | $3,028.00 | $9,753.00 | $15,824.00 |