| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $4,673.00 | $7,007.00 | |
CareFirst
| Professional | $284.00 | $2,462.00 | $4,931.00 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
Unlisted Procedure Vestibule Mouth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $4,673.00 | $7,007.00 | |
CareFirst
| Professional | $284.00 | $2,462.00 | $4,931.00 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |