| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.59 | $448.75 | $1,400.00 | |
CareSource
| Facility | $328.46 | $360.60 | $429.44 | |
Cigna
| Facility | $578.22 | $578.22 | $578.22 |
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.59 | $448.75 | $1,400.00 | |
CareSource
| Facility | $328.46 | $360.60 | $429.44 | |
Cigna
| Facility | $578.22 | $578.22 | $578.22 |