| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.12 | $46.12 | $46.12 | |
Aetna
| Professional | $39.38 | $45.74 | $47.03 | |
Molina
| Professional | $30.00 | $45.00 | $87.39 |
Intraoral - Comprehensive Series Of Radiographic Images
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.12 | $46.12 | $46.12 | |
Aetna
| Professional | $39.38 | $45.74 | $47.03 | |
Molina
| Professional | $30.00 | $45.00 | $87.39 |