| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.49 | $1,250.00 | $2,288.39 | |
BCBS
| Facility | $569.45 | $569.45 | $569.45 | |
Cigna
| Facility | $225.58 | $225.58 | $550.00 | |
United
| Facility | $216.00 | $485.00 | $1,888.00 |
Rpr Lac 2.5 Cm/< Mouth&/Ant Two-Thirds Tong
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.49 | $1,250.00 | $2,288.39 | |
BCBS
| Facility | $569.45 | $569.45 | $569.45 | |
Cigna
| Facility | $225.58 | $225.58 | $550.00 | |
United
| Facility | $216.00 | $485.00 | $1,888.00 |