| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.58 | $30.58 | $30.58 | |
Aetna
| Professional | $20.47 | $26.40 | $34.84 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Comp Periodontal Evaluation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.58 | $30.58 | $30.58 | |
Aetna
| Professional | $20.47 | $26.40 | $34.84 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |