| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.32 | $48.32 | $48.32 | |
Aetna
| Professional | $41.46 | $48.32 | $48.32 |
Intraoral - Comprehensive Series Of Radiographic Images
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.32 | $48.32 | $48.32 | |
Aetna
| Professional | $41.46 | $48.32 | $48.32 |