| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $25.70 | $72.44 | |
BCBS
| Professional | $67.61 | $67.61 | $67.61 |
Limited Oral Evaluation - Problem Focused
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $25.70 | $72.44 | |
BCBS
| Professional | $67.61 | $67.61 | $67.61 |