| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.22 | $10.22 | $16.53 | |
Aetna
| Professional | $8.31 | $10.51 | $12.09 | |
AmeriHealth
| Facility | $19.80 | $19.80 | $19.80 | |
United
| Professional | $24.00 | $24.00 | $28.00 |
Intraoral - Periapical First Radiographic Image
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.22 | $10.22 | $16.53 | |
Aetna
| Professional | $8.31 | $10.51 | $12.09 | |
AmeriHealth
| Facility | $19.80 | $19.80 | $19.80 | |
United
| Professional | $24.00 | $24.00 | $28.00 |