| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.36 | $3,575.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $302.93 | $318.87 | $669.47 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
Rpr Lac 2.5 Cm/< Mouth&/Ant Two-Thirds Tong
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.36 | $3,575.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $302.93 | $318.87 | $669.47 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |