| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,387.21 | $22,387.21 | $22,387.21 | |
Cigna
| Facility | $29,512.09 | $29,512.09 | $29,512.09 | |
Highmark BCBS
| Facility | $21,877.62 | $21,877.62 | $21,877.62 |
Mouth Procedures With Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,387.21 | $22,387.21 | $22,387.21 | |
Cigna
| Facility | $29,512.09 | $29,512.09 | $29,512.09 | |
Highmark BCBS
| Facility | $21,877.62 | $21,877.62 | $21,877.62 |