| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $12,022.64 | $17,782.79 | $20,892.96 | |
Cigna
| Facility | $11,481.54 | $13,803.84 | $26,302.68 | |
Harvard Pilgrim
| Facility | $13,489.63 | $13,489.63 | $13,489.63 |
Mouth Procedures Without Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $12,022.64 | $17,782.79 | $20,892.96 | |
Cigna
| Facility | $11,481.54 | $13,803.84 | $26,302.68 | |
Harvard Pilgrim
| Facility | $13,489.63 | $13,489.63 | $13,489.63 |