| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.80 | $154.34 | $201.68 | |
Providence
| Facility | $154.34 | $171.51 | $224.00 | |
Providence
| Professional | $148.49 | $222.75 | $2,400,000.00 |
Cone Beam Ct Capture & Interp Fd View Both Jaws
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.80 | $154.34 | $201.68 | |
Providence
| Facility | $154.34 | $171.51 | $224.00 | |
Providence
| Professional | $148.49 | $222.75 | $2,400,000.00 |