| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.05 | $542.05 | $1,600.00 | |
CareSource
| Facility | $534.95 | $641.94 | $699.41 | |
Cigna
| Facility | $624.02 | $624.02 | $624.02 |
Exc Lip Full Thkns Rcnstj W/Local Flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.05 | $542.05 | $1,600.00 | |
CareSource
| Facility | $534.95 | $641.94 | $699.41 | |
Cigna
| Facility | $624.02 | $624.02 | $624.02 |