| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.01 | $21.01 | $33.58 | |
CareFirst
| Professional | $45.00 | $45.00 | $59.85 | |
Kaiser Permanente
| Professional | $24.89 | $28.82 | $53.91 |
Limited Oral Evaluation - Problem Focused
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.01 | $21.01 | $33.58 | |
CareFirst
| Professional | $45.00 | $45.00 | $59.85 | |
Kaiser Permanente
| Professional | $24.89 | $28.82 | $53.91 |