| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $15,135.61 | $29,512.09 | $34,673.69 | |
Cigna
| Facility | $19,498.45 | $22,908.68 | $44,668.36 | |
Harvard Pilgrim
| Facility | $23,442.29 | $23,442.29 | $23,442.29 |
Mouth Procedures With Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $15,135.61 | $29,512.09 | $34,673.69 | |
Cigna
| Facility | $19,498.45 | $22,908.68 | $44,668.36 | |
Harvard Pilgrim
| Facility | $23,442.29 | $23,442.29 | $23,442.29 |