| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.96 | $37.96 | $37.96 | |
Aetna
| Professional | $11.33 | $23.08 | $37.96 | |
Anthem BCBS
| Professional | $17.71 | $24.57 | $44.21 | |
Cigna
| Professional | $17.39 | $17.39 | $17.39 |
Intraoral - Occlusal Radiographic Image
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.96 | $37.96 | $37.96 | |
Aetna
| Professional | $11.33 | $23.08 | $37.96 | |
Anthem BCBS
| Professional | $17.71 | $24.57 | $44.21 | |
Cigna
| Professional | $17.39 | $17.39 | $17.39 |