| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.63 | $4,973.00 | $9,860.00 | |
Horizon BCBS
| Facility | $13,180.88 | $14,382.16 | $31,187.56 | |
United
| Facility | $3,885.00 | $7,188.00 | $10,536.00 |
Plastic repair of salivary duct, sialodochoplasty; primary or simple
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.63 | $4,973.00 | $9,860.00 | |
Horizon BCBS
| Facility | $13,180.88 | $14,382.16 | $31,187.56 | |
United
| Facility | $3,885.00 | $7,188.00 | $10,536.00 |