| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.56 | $8.56 | $1,250.00 | |
Aetna
| Professional | $11.21 | $13.55 | $17.64 | |
United
| Professional | $29.00 | $29.00 | $33.00 |
Intraoral - Occlusal Radiographic Image
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.56 | $8.56 | $1,250.00 | |
Aetna
| Professional | $11.21 | $13.55 | $17.64 | |
United
| Professional | $29.00 | $29.00 | $33.00 |