| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,034.00 | $9,034.00 | $9,034.00 | |
Cigna
| Facility | $13,949.66 | $13,949.66 | $13,949.66 | |
Highmark BCBS
| Facility | $15,082.68 | $15,082.68 | $17,149.07 |
Dental And Oral Diseases Without Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,034.00 | $9,034.00 | $9,034.00 | |
Cigna
| Facility | $13,949.66 | $13,949.66 | $13,949.66 | |
Highmark BCBS
| Facility | $15,082.68 | $15,082.68 | $17,149.07 |