| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $30.36 | $372.25 | $1,621.66 | |
Cigna
| Facility | $68.25 | $68.25 | $68.25 |
Clinic - Dental Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $30.36 | $372.25 | $1,621.66 | |
Cigna
| Facility | $68.25 | $68.25 | $68.25 |