| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.41 | $2,833.00 | $4,387.00 | |
Regence BlueShield
| Facility | $4,525.68 | $6,104.56 | $8,896.10 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |
Xtroral I&D Absc Cst/Hmtma Floor Mouth Submndb
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.41 | $2,833.00 | $4,387.00 | |
Regence BlueShield
| Facility | $4,525.68 | $6,104.56 | $8,896.10 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |