| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $773.68 | $773.68 | $863.00 |
Plastic repair of salivary duct, sialodochoplasty; secondary or complicated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $773.68 | $773.68 | $863.00 |