| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.41 | $3,059.00 | $8,419.00 | |
Horizon BCBS
| Facility | $782.90 | $889.11 | $970.14 | |
United
| Facility | $1,401.00 | $3,336.00 | $10,536.00 |
Rpr Lac 2.5 Cm/< Mouth&/Ant Two-Thirds Tong
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.41 | $3,059.00 | $8,419.00 | |
Horizon BCBS
| Facility | $782.90 | $889.11 | $970.14 | |
United
| Facility | $1,401.00 | $3,336.00 | $10,536.00 |