| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,243.00 | $9,813.00 | $14,552.94 | |
Aetna
| Professional | $2,236.00 | $13,413.92 | $17,617.16 |
Unlisted procedure, vestibule of mouth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,243.00 | $9,813.00 | $14,552.94 | |
Aetna
| Professional | $2,236.00 | $13,413.92 | $17,617.16 |