| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.92 | $516.52 | $2,000.00 | |
Medica
| Facility | $403.92 | $596.51 | $1,078.92 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Xtroral I&D Floor Masticator Space
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.92 | $516.52 | $2,000.00 | |
Medica
| Facility | $403.92 | $596.51 | $1,078.92 | |
United
| Facility | $681.00 | $681.00 | $681.00 |