| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $913.58 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $254.20 | $1,107.11 | $2,338.29 | |
Providence
| Facility | $254.20 | $1,107.11 | $2,338.29 |
Rpr Lac Tongue Floor Mouth > 2.6 Cm/Cplx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $913.58 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $254.20 | $1,107.11 | $2,338.29 | |
Providence
| Facility | $254.20 | $1,107.11 | $2,338.29 |