| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $881.82 | $881.82 | $881.82 | |
Midlands
| Professional | $852.71 | $852.71 | $852.71 | |
Wellmark
| Professional | $710.00 | $710.00 | $710.00 |
Unspecified Endodontic Procedure By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $881.82 | $881.82 | $881.82 | |
Midlands
| Professional | $852.71 | $852.71 | $852.71 | |
Wellmark
| Professional | $710.00 | $710.00 | $710.00 |