| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,801.89 | $3,801.89 | $4,168.69 | |
Molina
| Professional | $4,168.69 | $4,168.69 | $4,570.88 |
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 | $3,801.89 | $3,801.89 | $4,168.69 | |
Molina
| Professional | $4,168.69 | $4,168.69 | $4,570.88 |