| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $16,495.30 | $16,495.30 | $16,495.30 | |
Providence
| Facility | $6,275.40 | $6,275.40 | $16,495.30 |
Dental And Oral Diseases 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 | $16,495.30 | $16,495.30 | $16,495.30 | |
Providence
| Facility | $6,275.40 | $6,275.40 | $16,495.30 |