| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.62 | $30.62 | $30.62 | |
Aetna
| Professional | $21.23 | $29.64 | $34.47 | |
Cigna
| Professional | $33.83 | $33.83 | $33.83 |
Comp Oral Evaluation - New/Established Patient
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.62 | $30.62 | $30.62 | |
Aetna
| Professional | $21.23 | $29.64 | $34.47 | |
Cigna
| Professional | $33.83 | $33.83 | $33.83 |