| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,181.00 | $11,181.00 | $11,181.00 | |
Cigna
| Facility | $17,448.39 | $17,448.39 | $17,448.39 | |
Highmark BCBS
| Facility | $6,945.78 | $6,945.78 | $6,945.78 |
Mouth Procedures Without Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,181.00 | $11,181.00 | $11,181.00 | |
Cigna
| Facility | $17,448.39 | $17,448.39 | $17,448.39 | |
Highmark BCBS
| Facility | $6,945.78 | $6,945.78 | $6,945.78 |