| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $2,141.00 | $2,141.00 | $2,141.00 |
Unlisted procedure, vestibule of mouth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $2,141.00 | $2,141.00 | $2,141.00 |