| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,500.00 | $8,500.00 | $8,500.00 | |
Medica
| Facility | $125.00 | $125.00 | $450.54 | |
United
| Facility | $125.00 | $125.00 | $125.00 |
Unlisted Procedure Tongue Floor Mouth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,500.00 | $8,500.00 | $8,500.00 | |
Medica
| Facility | $125.00 | $125.00 | $450.54 | |
United
| Facility | $125.00 | $125.00 | $125.00 |