| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $456.00 | $456.00 | $578.22 |
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $456.00 | $456.00 | $578.22 |