| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.88 | $17.07 | $39.02 | |
Anthem BCBS
| Professional | $20.25 | $27.00 | $52.50 | |
Cigna
| Professional | $19.22 | $19.22 | $19.22 | |
United
| Professional | $23.00 | $23.00 | $29.00 |
Periodic Oral Evaluation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.88 | $17.07 | $39.02 | |
Anthem BCBS
| Professional | $20.25 | $27.00 | $52.50 | |
Cigna
| Professional | $19.22 | $19.22 | $19.22 | |
United
| Professional | $23.00 | $23.00 | $29.00 |