| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.41 | $803.00 | $2,812.00 | |
BCBS
| Facility | $464.60 | $464.60 | $557.52 | |
Cigna
| Facility | $345.62 | $345.62 | $345.62 | |
United
| Facility | $130.00 | $337.00 | $858.00 |
Exc Mucosa Vestibule Mouth As Don Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.41 | $803.00 | $2,812.00 | |
BCBS
| Facility | $464.60 | $464.60 | $557.52 | |
Cigna
| Facility | $345.62 | $345.62 | $345.62 | |
United
| Facility | $130.00 | $337.00 | $858.00 |