| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.07 | $27.57 | $41.11 | |
Anthem BCBS
| Professional | $38.36 | $41.00 | $55.31 | |
Harvard Pilgrim
| Professional | $48.39 | $79.59 | $149.36 |
Limited Oral Evaluation - Problem Focused
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.07 | $27.57 | $41.11 | |
Anthem BCBS
| Professional | $38.36 | $41.00 | $55.31 | |
Harvard Pilgrim
| Professional | $48.39 | $79.59 | $149.36 |