| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.10 | $17.54 | $18.07 | |
BCBS
| Professional | $47.00 | $47.00 | $47.00 |
Periodic Oral Evaluation - Established Patient
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.10 | $17.54 | $18.07 | |
BCBS
| Professional | $47.00 | $47.00 | $47.00 |