| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $20,632.50 | $20,632.50 | $20,632.50 | |
Providence
| Facility | $7,660.45 | $7,660.45 | $20,632.50 |
Mouth Procedures Without Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $20,632.50 | $20,632.50 | $20,632.50 | |
Providence
| Facility | $7,660.45 | $7,660.45 | $20,632.50 |