| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $544.73 | $544.73 | $544.73 | |
Providence
| Facility | $300.76 | $459.66 | $797.58 |
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $544.73 | $544.73 | $544.73 | |
Providence
| Facility | $300.76 | $459.66 | $797.58 |