| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.33 | $13.27 | $15.79 | |
Cigna
| Professional | $17.39 | $17.39 | $17.39 | |
Medica
| Facility | $12.24 | $16.12 | $31.17 | |
Medica
| Professional | $283.32 | $283.32 | $283.32 |
Intraoral - Occlusal Radiographic Image
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.33 | $13.27 | $15.79 | |
Cigna
| Professional | $17.39 | $17.39 | $17.39 | |
Medica
| Facility | $12.24 | $16.12 | $31.17 | |
Medica
| Professional | $283.32 | $283.32 | $283.32 |