| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.89 | $16.89 | $16.89 | |
Aetna
| Professional | $16.89 | $22.86 | $29.80 | |
Cigna
| Professional | $33.83 | $33.83 | $33.83 | |
United
| Professional | $40.00 | $96.00 | $112.00 |
Comp Oral Evaluation - New/Established Patient
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.89 | $16.89 | $16.89 | |
Aetna
| Professional | $16.89 | $22.86 | $29.80 | |
Cigna
| Professional | $33.83 | $33.83 | $33.83 | |
United
| Professional | $40.00 | $96.00 | $112.00 |