| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $519.63 | $927.00 | $2,250.00 | |
BCBS
| Facility | $3,872.40 | $4,699.34 | $6,322.12 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |
Exc Mucosa Vestibule Mouth As Don Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $519.63 | $927.00 | $2,250.00 | |
BCBS
| Facility | $3,872.40 | $4,699.34 | $6,322.12 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |