| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.22 | $25.22 | $25.22 | |
Aetna
| Professional | $25.22 | $47.90 | $58.85 |
Panoramic Radiographic Image
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.22 | $25.22 | $25.22 | |
Aetna
| Professional | $25.22 | $47.90 | $58.85 |