| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.94 | $16.44 | $19.77 | |
BCBS
| Facility | $131.99 | $153.40 | $166.69 | |
BCBS
| Professional | $28.00 | $28.00 | $28.00 | |
United
| Professional | $32.00 | $39.00 | $54.81 |
Periodic Oral Evaluation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.94 | $16.44 | $19.77 | |
BCBS
| Facility | $131.99 | $153.40 | $166.69 | |
BCBS
| Professional | $28.00 | $28.00 | $28.00 | |
United
| Professional | $32.00 | $39.00 | $54.81 |