| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $15,488.17 | $18,197.01 | $26,915.35 | |
United
| Facility | $4,265.80 | $20,892.96 | $25,703.96 |
Mouth Procedures With Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $15,488.17 | $18,197.01 | $26,915.35 | |
United
| Facility | $4,265.80 | $20,892.96 | $25,703.96 |