| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.45 | $17.45 | $17.45 | |
Aetna
| Professional | $17.35 | $17.45 | $21.29 | |
Anthem BCBS
| Professional | $25.42 | $29.90 | $30.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |
Pulp Vitality Tests
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.45 | $17.45 | $17.45 | |
Aetna
| Professional | $17.35 | $17.45 | $21.29 | |
Anthem BCBS
| Professional | $25.42 | $29.90 | $30.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |