| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.30 | $3,374.00 | $9,784.00 | |
Horizon BCBS
| Facility | $7,134.65 | $7,884.56 | $13,993.66 | |
United
| Facility | $3,204.00 | $5,225.00 | $10,536.00 |
Xtroral I&D Absc Cst/Hmtma Floor Mouth Submndb
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.30 | $3,374.00 | $9,784.00 | |
Horizon BCBS
| Facility | $7,134.65 | $7,884.56 | $13,993.66 | |
United
| Facility | $3,204.00 | $5,225.00 | $10,536.00 |