| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $10,509.10 | $10,509.10 | $11,045.88 |
Dental & Oral Diseases w CC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $10,509.10 | $10,509.10 | $11,045.88 |