| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,332.54 | $10,964.78 | $15,848.93 | |
United
| Facility | $4,265.80 | $12,302.69 | $15,135.61 |
Mouth Procedures Without Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,332.54 | $10,964.78 | $15,848.93 | |
United
| Facility | $4,265.80 | $12,302.69 | $15,135.61 |