| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.40 | $13.57 | $18.00 | |
CareFirst
| Professional | $17.10 | $23.00 | $29.44 | |
Kaiser Permanente
| Professional | $15.25 | $17.88 | $27.58 |
Intraoral - Occlusal Radiographic Image
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.40 | $13.57 | $18.00 | |
CareFirst
| Professional | $17.10 | $23.00 | $29.44 | |
Kaiser Permanente
| Professional | $15.25 | $17.88 | $27.58 |