| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $339.84 | $439.80 | $5,000.00 | |
Medica
| Facility | $339.84 | $524.90 | $1,057.38 | |
United
| Facility | $1,530.00 | $1,530.00 | $1,530.00 |
Plastic repair of salivary duct, sialodochoplasty; primary or simple
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $339.84 | $439.80 | $5,000.00 | |
Medica
| Facility | $339.84 | $524.90 | $1,057.38 | |
United
| Facility | $1,530.00 | $1,530.00 | $1,530.00 |