| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.11 | $14.11 | $14.11 | |
Aetna
| Professional | $12.13 | $14.11 | $14.44 | |
Molina
| Professional | $22.85 | $45.00 | $60.00 |
Intraoral - Occlusal Radiographic Image
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.11 | $14.11 | $14.11 | |
Aetna
| Professional | $12.13 | $14.11 | $14.44 | |
Molina
| Professional | $22.85 | $45.00 | $60.00 |