| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $7,839.77 | $7,839.77 | |
Anthem BCBS
| Facility | $4,769.10 | $15,307.77 | $29,108.25 | |
United
| Facility | $451.00 | $3,360.00 | $7,448.00 |
Glssc Composit W/Rescj Floor & Mandibular Rescj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $7,839.77 | $7,839.77 | |
Anthem BCBS
| Facility | $4,769.10 | $15,307.77 | $29,108.25 | |
United
| Facility | $451.00 | $3,360.00 | $7,448.00 |