| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,197.26 | $5,493.10 | $6,581.36 | |
Molina
| Professional | $50.00 | $60.00 | $85.00 |
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 | $5,197.26 | $5,493.10 | $6,581.36 | |
Molina
| Professional | $50.00 | $60.00 | $85.00 |