| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,525.00 | $2,250.00 | |
BCBS
| Facility | $2,209.40 | $2,674.66 | $3,598.28 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |
Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,525.00 | $2,250.00 | |
BCBS
| Facility | $2,209.40 | $2,674.66 | $3,598.28 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |