| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.44 | $14.89 | $19.87 | |
CareFirst
| Professional | $31.50 | $32.00 | $42.56 | |
Kaiser Permanente
| Professional | $17.38 | $20.12 | $37.65 |
Periodic Oral Evaluation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.44 | $14.89 | $19.87 | |
CareFirst
| Professional | $31.50 | $32.00 | $42.56 | |
Kaiser Permanente
| Professional | $17.38 | $20.12 | $37.65 |