| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $576.65 | $1,272.82 | $1,272.82 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |
Exc Lip Full Thkns Rcnstj W/Local Flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $576.65 | $1,272.82 | $1,272.82 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |