| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.36 | $45.36 | $45.36 | |
Aetna
| Professional | $37.26 | $45.36 | $53.50 |
Panoramic Radiographic Image
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.36 | $45.36 | $45.36 | |
Aetna
| Professional | $37.26 | $45.36 | $53.50 |