| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.22 | $26.04 | $30.53 | |
BCBS
| Facility | $131.99 | $166.69 | $278.77 | |
BCBS
| Professional | $39.00 | $39.00 | $39.00 | |
United
| Professional | $37.42 | $61.00 | $81.34 |
Limited Oral Evaluation - Problem Focused
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.22 | $26.04 | $30.53 | |
BCBS
| Facility | $131.99 | $166.69 | $278.77 | |
BCBS
| Professional | $39.00 | $39.00 | $39.00 | |
United
| Professional | $37.42 | $61.00 | $81.34 |