| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,095.00 | $7,838.38 | $8,644.27 | |
Molina
| Professional | $60.00 | $85.00 | $1,500.00 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |
Unlisted procedure, vestibule of mouth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,095.00 | $7,838.38 | $8,644.27 | |
Molina
| Professional | $60.00 | $85.00 | $1,500.00 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |