| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,223.00 | $2,250.00 | |
BCBS
| Facility | $4,644.41 | $5,636.21 | $7,582.51 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |
Exc Lip Full Thkns Rcnstj W/Local Flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,223.00 | $2,250.00 | |
BCBS
| Facility | $4,644.41 | $5,636.21 | $7,582.51 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |