| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.40 | $2,761.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $557.75 | $587.10 | $1,221.67 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 |
Xtroral I&D Floor Masticator Space
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.40 | $2,761.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $557.75 | $587.10 | $1,221.67 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 |