| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $474.12 | $996.14 | $1,831.00 | |
BCBS
| Facility | $697.58 | $697.58 | $697.58 | |
Cigna
| Facility | $415.00 | $594.99 | $680.07 | |
United
| Facility | $575.00 | $1,305.00 | $3,191.00 |
Xtroral I&D Floor Masticator Space
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $474.12 | $996.14 | $1,831.00 | |
BCBS
| Facility | $697.58 | $697.58 | $697.58 | |
Cigna
| Facility | $415.00 | $594.99 | $680.07 | |
United
| Facility | $575.00 | $1,305.00 | $3,191.00 |