| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $553.80 | $1,223.00 | $1,896.00 | |
BCBS
| Facility | $147.91 | $179.50 | $241.49 | |
United
| Facility | $250.00 | $750.00 | $1,326.00 |
Rpr Lac 2.5 Cm/< Mouth&/Ant Two-Thirds Tong
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $553.80 | $1,223.00 | $1,896.00 | |
BCBS
| Facility | $147.91 | $179.50 | $241.49 | |
United
| Facility | $250.00 | $750.00 | $1,326.00 |