| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.23 | $27.24 | $68.19 | |
Aetna
| Professional | $20.07 | $27.24 | $32.49 | |
Emblem Health
| Professional | $15.55 | $20.99 | $32.97 | |
United
| Professional | $37.00 | $55.00 | $83.00 |
Limited Oral Evaluation - Problem Focused
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.23 | $27.24 | $68.19 | |
Aetna
| Professional | $20.07 | $27.24 | $32.49 | |
Emblem Health
| Professional | $15.55 | $20.99 | $32.97 | |
United
| Professional | $37.00 | $55.00 | $83.00 |