| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $939.60 | $939.60 | $939.60 | |
Providence
| Facility | $466.32 | $641.19 | $939.60 |
Arthroscopy, temporomandibular joint, surgical
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $939.60 | $939.60 | $939.60 | |
Providence
| Facility | $466.32 | $641.19 | $939.60 |