| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.34 | $18.34 | $18.34 | |
Aetna
| Professional | $12.89 | $18.55 | $21.94 | |
Medica
| Facility | $17.05 | $18.55 | $28.08 | |
Medica
| Professional | $17.09 | $33.26 | $283.32 |
extra-oral - 2D projection radiographic image created using a stationary radiation source, and detector
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.34 | $18.34 | $18.34 | |
Aetna
| Professional | $12.89 | $18.55 | $21.94 | |
Medica
| Facility | $17.05 | $18.55 | $28.08 | |
Medica
| Professional | $17.09 | $33.26 | $283.32 |