| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,250.00 | |
BCBS
| Facility | $1,223.08 | $1,484.28 | $1,996.84 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |
Unlisted Procedure Vestibule Mouth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,250.00 | |
BCBS
| Facility | $1,223.08 | $1,484.28 | $1,996.84 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |