| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,015.90 | $3,222.01 | $4,291.72 | |
Medica
| Professional | $10,396.14 | $10,396.14 | $10,396.14 |
Lam&Sctj Dentate Lig W/Wo Dural Grf Crv 1/2 Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,015.90 | $3,222.01 | $4,291.72 | |
Medica
| Professional | $10,396.14 | $10,396.14 | $10,396.14 |