| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,209.15 | $3,530.88 | $4,703.14 | |
Medica
| Professional | $11,402.46 | $11,402.46 | $11,402.46 |
Lam&Sctj Dentate Lig W/Wo Dural Grf Crv >2 Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,209.15 | $3,530.88 | $4,703.14 | |
Medica
| Professional | $11,402.46 | $11,402.46 | $11,402.46 |