| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.80 | $29.80 | $753.00 | |
Aetna
| Professional | $21.01 | $29.31 | $33.70 | |
Emblem Health
| Professional | $33.33 | $45.00 | $70.66 | |
United
| Professional | $41.00 | $59.00 | $96.00 |
Comp Oral Evaluation - New/Established Patient
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.80 | $29.80 | $753.00 | |
Aetna
| Professional | $21.01 | $29.31 | $33.70 | |
Emblem Health
| Professional | $33.33 | $45.00 | $70.66 | |
United
| Professional | $41.00 | $59.00 | $96.00 |