| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.15 | $16.93 | $19.87 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |
Periodic Oral Evaluation - Established Patient
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.15 | $16.93 | $19.87 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |