| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.50 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $304.94 | $421.05 | $535.88 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |
Excision of mucosa of vestibule of mouth as donor graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.50 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $304.94 | $421.05 | $535.88 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |