| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $25.12 | $50.12 | |
BCBS
| Facility | $275.42 | $302.00 | $398.11 | |
United
| Professional | $18.20 | $64.57 | $75.86 |
Limited Oral Evaluation - Problem Focused
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $25.12 | $50.12 | |
BCBS
| Facility | $275.42 | $302.00 | $398.11 | |
United
| Professional | $18.20 | $64.57 | $75.86 |