| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,438.26 | $3,706.14 | $4,026.21 | |
BCBS
| Facility | $181.28 | $397.75 | $530.82 | |
United
| Facility | $540.00 | $1,183.00 | $4,915.00 |
Unlisted Procedure Vestibule Mouth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,438.26 | $3,706.14 | $4,026.21 | |
BCBS
| Facility | $181.28 | $397.75 | $530.82 | |
United
| Facility | $540.00 | $1,183.00 | $4,915.00 |