| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $883.18 | $6,625.00 | $11,298.00 | |
Horizon BCBS
| Facility | $5,132.43 | $5,671.88 | $10,816.89 | |
United
| Facility | $3,885.00 | $7,250.00 | $10,536.00 |
Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $883.18 | $6,625.00 | $11,298.00 | |
Horizon BCBS
| Facility | $5,132.43 | $5,671.88 | $10,816.89 | |
United
| Facility | $3,885.00 | $7,250.00 | $10,536.00 |