| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $9,350.00 | $15,967.00 | $36,439.00 | |
Cigna
| Professional | $3,798.72 | $5,197.26 | $6,581.36 | |
Kaiser Permanente
| Professional | $155.00 | $329.00 | $7,011.00 |
Lam&Sctj Dentate Lig W/Wo Dural Grf Crv 1/2 Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $9,350.00 | $15,967.00 | $36,439.00 | |
Cigna
| Professional | $3,798.72 | $5,197.26 | $6,581.36 | |
Kaiser Permanente
| Professional | $155.00 | $329.00 | $7,011.00 |