| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,053.63 | $4,769.00 | $8,031.00 | |
Anthem BCBS
| Facility | $5,410.00 | $6,763.00 | $10,956.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |
Exc Lip Full Thkns Rcnstj W/Local Flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,053.63 | $4,769.00 | $8,031.00 | |
Anthem BCBS
| Facility | $5,410.00 | $6,763.00 | $10,956.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |