| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.98 | $3,232.00 | $10,439.00 | |
BCBS
| Facility | $272.00 | $379.82 | $602.32 | |
Medica
| Facility | $277.97 | $409.40 | $1,685.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |
Exc Mucosa Vestibule Mouth As Don Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.98 | $3,232.00 | $10,439.00 | |
BCBS
| Facility | $272.00 | $379.82 | $602.32 | |
Medica
| Facility | $277.97 | $409.40 | $1,685.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |