| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.16 | $3,038.00 | $8,411.49 | |
Regence BlueShield
| Facility | $765.38 | $1,043.22 | $1,520.27 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |
Exc Mucosa Vestibule Mouth As Don Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.16 | $3,038.00 | $8,411.49 | |
Regence BlueShield
| Facility | $765.38 | $1,043.22 | $1,520.27 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |