| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,798.72 | $3,798.72 | $4,174.83 | |
Molina
| Professional | $4,138.14 | $4,138.14 | $4,523.18 |
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 | |
Molina
| Professional | $4,138.14 | $4,138.14 | $4,523.18 |