| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,798.72 | $3,798.72 | $4,174.83 | |
MVP Health Care
| Facility | $26,028.00 | $26,028.00 | $37,776.00 | |
MVP Health Care
| Professional | $3,798.72 | $3,798.72 | $4,174.83 |
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 | $3,798.72 | $3,798.72 | $4,174.83 | |
MVP Health Care
| Facility | $26,028.00 | $26,028.00 | $37,776.00 | |
MVP Health Care
| Professional | $3,798.72 | $3,798.72 | $4,174.83 |