| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.54 | $3,827.00 | $9,784.00 | |
Horizon BCBS
| Facility | $3,601.29 | $3,601.29 | $7,809.33 | |
United
| Facility | $3,204.00 | $5,225.00 | $10,536.00 |
Xtroral I&D Floor Masticator Space
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.54 | $3,827.00 | $9,784.00 | |
Horizon BCBS
| Facility | $3,601.29 | $3,601.29 | $7,809.33 | |
United
| Facility | $3,204.00 | $5,225.00 | $10,536.00 |