| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,154.11 | $3,241.65 | |
CareSource
| Facility | $2,092.02 | $2,274.31 | $2,735.14 | |
Cigna
| Facility | $2,450.09 | $2,450.09 | $2,450.09 |
Glssc Composit W/Rescj Floor & Mandibular Rescj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,154.11 | $3,241.65 | |
CareSource
| Facility | $2,092.02 | $2,274.31 | $2,735.14 | |
Cigna
| Facility | $2,450.09 | $2,450.09 | $2,450.09 |