| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $395.18 | $3,827.00 | $9,784.00 | |
Horizon BCBS
| Facility | $13,014.26 | $14,382.16 | $31,187.56 | |
United
| Facility | $3,885.00 | $7,188.00 | $10,536.00 |
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $395.18 | $3,827.00 | $9,784.00 | |
Horizon BCBS
| Facility | $13,014.26 | $14,382.16 | $31,187.56 | |
United
| Facility | $3,885.00 | $7,188.00 | $10,536.00 |