| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $11,425.09 | $11,425.09 | $12,008.66 |
Dental Extractions & Restorations
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $11,425.09 | $11,425.09 | $12,008.66 |