| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.04 | $459.92 | $2,000.00 | |
Medica
| Facility | $348.04 | $525.08 | $949.16 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Xtroral I&D Absc Cst/Hmtma Floor Mouth Submndb
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.04 | $459.92 | $2,000.00 | |
Medica
| Facility | $348.04 | $525.08 | $949.16 | |
United
| Facility | $681.00 | $681.00 | $681.00 |