| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,636.47 | $3,315.17 | $4,174.83 | |
Oscar Health
| Professional | $1,502.00 | $1,502.00 | $2,770.40 | |
Priority Health
| Professional | $2,636.47 | $3,315.17 | $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 | $2,636.47 | $3,315.17 | $4,174.83 | |
Oscar Health
| Professional | $1,502.00 | $1,502.00 | $2,770.40 | |
Priority Health
| Professional | $2,636.47 | $3,315.17 | $4,174.83 |