| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $25.12 | |
Aetna
| Professional | $19.95 | $25.12 | $46.77 | |
BCBS
| Professional | $42.66 | $42.66 | $42.66 | |
United
| Professional | $38.90 | $38.90 | $46.77 |
Limited Oral Evaluation - Problem Focused
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $25.12 | |
Aetna
| Professional | $19.95 | $25.12 | $46.77 | |
BCBS
| Professional | $42.66 | $42.66 | $42.66 | |
United
| Professional | $38.90 | $38.90 | $46.77 |