| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.60 | $42.60 | $42.60 | |
Aetna
| Professional | $32.89 | $42.60 | $58.85 | |
Molina
| Professional | $45.00 | $45.00 | $79.89 |
Panoramic Radiographic Image
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.60 | $42.60 | $42.60 | |
Aetna
| Professional | $32.89 | $42.60 | $58.85 | |
Molina
| Professional | $45.00 | $45.00 | $79.89 |