| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $395.00 | $2,754.30 | $3,914.00 | |
Kaiser Permanente
| Professional | $433.06 | $561.98 | $832.56 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $395.00 | $2,754.30 | $3,914.00 | |
Kaiser Permanente
| Professional | $433.06 | $561.98 | $832.56 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |