| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $2,272.12 | $2,391.71 | $5,008.60 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |
Glssc Composit W/Rescj Floor & Mandibular Rescj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $2,272.12 | $2,391.71 | $5,008.60 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |