| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.16 | $30.16 | $30.16 | |
Aetna
| Professional | $30.16 | $30.16 | $44.54 |
Intraoral - Comprehensive Series Of Radiographic Images
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.16 | $30.16 | $30.16 | |
Aetna
| Professional | $30.16 | $30.16 | $44.54 |