| 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 and interpretation with field of view of both jaws; with or without cranium
| 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 |