| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.87 | $22.87 | $22.87 | |
Aetna
| Professional | $21.23 | $29.64 | $41.63 |
Comp Oral Evaluation - New/Established Patient
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.87 | $22.87 | $22.87 | |
Aetna
| Professional | $21.23 | $29.64 | $41.63 |