| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $25.12 | $64.57 | |
CareFirst
| Professional | $40.74 | $44.67 | $54.95 | |
Kaiser Permanente
| Professional | $23.44 | $26.92 | $33.88 |
Limited Oral Evaluation - Problem Focused
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $25.12 | $64.57 | |
CareFirst
| Professional | $40.74 | $44.67 | $54.95 | |
Kaiser Permanente
| Professional | $23.44 | $26.92 | $33.88 |