| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.33 | $22.48 | $23.08 | |
Anthem BCBS
| Professional | $21.00 | $21.53 | $29.71 | |
Harvard Pilgrim
| Professional | $26.32 | $45.53 | $86.70 |
Intraoral - Occlusal Radiographic Image
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.33 | $22.48 | $23.08 | |
Anthem BCBS
| Professional | $21.00 | $21.53 | $29.71 | |
Harvard Pilgrim
| Professional | $26.32 | $45.53 | $86.70 |