| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31,017.00 | $31,017.00 | $31,017.00 | |
Cigna
| Facility | $14,239.46 | $23,979.69 | $24,394.43 | |
United
| Facility | $8,306.00 | $10,063.00 | $12,648.73 |
Mouth Procedures Without Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31,017.00 | $31,017.00 | $31,017.00 | |
Cigna
| Facility | $14,239.46 | $23,979.69 | $24,394.43 | |
United
| Facility | $8,306.00 | $10,063.00 | $12,648.73 |