| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.00 | $224.00 | $224.00 | |
Aetna
| Professional | $123.80 | $147.74 | $224.00 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Cone Beam Ct Capture & Interp Fd View Both Jaws
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.00 | $224.00 | $224.00 | |
Aetna
| Professional | $123.80 | $147.74 | $224.00 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |