| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.84 | $392.83 | $3,977.00 | |
Regence BlueShield
| Facility | $186.54 | $242.20 | $352.96 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |
Drg Absc Cst Hmtma From Dentoalveolar Struxs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.84 | $392.83 | $3,977.00 | |
Regence BlueShield
| Facility | $186.54 | $242.20 | $352.96 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |