| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.63 | $17.63 | $17.63 | |
Aetna
| Professional | $17.63 | $18.61 | $22.23 | |
Molina
| Professional | $27.41 | $45.00 | $60.00 |
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 | $17.63 | $17.63 | $17.63 | |
Aetna
| Professional | $17.63 | $18.61 | $22.23 | |
Molina
| Professional | $27.41 | $45.00 | $60.00 |