| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.62 | $18.62 | $18.62 | |
Moda Health
| Facility | $17.35 | $18.62 | $21.03 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |
Pulp Vitality Tests
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.62 | $18.62 | $18.62 | |
Moda Health
| Facility | $17.35 | $18.62 | $21.03 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |