| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $353.61 | $353.61 | $611.00 |
Rpr Lac Tongue Floor Mouth > 2.6 Cm/Cplx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $353.61 | $353.61 | $611.00 |