| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.50 | $20.50 | $20.50 | |
Aetna
| Professional | $19.41 | $20.50 | $23.18 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Bitewings - Four Radiographic Images
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.50 | $20.50 | $20.50 | |
Aetna
| Professional | $19.41 | $20.50 | $23.18 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |