| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $395.00 | $693.21 | $1,164.58 | |
Kaiser Permanente
| Professional | $492.79 | $634.07 | $907.56 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |
Xtroral I&D Floor Masticator Space
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $395.00 | $693.21 | $1,164.58 | |
Kaiser Permanente
| Professional | $492.79 | $634.07 | $907.56 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |