| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $20,491.08 | $26,838.03 | $30,263.27 | |
Cigna
| Facility | $699.00 | $699.00 | $2,450.09 |
Glssc Composit W/Rescj Floor & Mandibular Rescj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $20,491.08 | $26,838.03 | $30,263.27 | |
Cigna
| Facility | $699.00 | $699.00 | $2,450.09 |