| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.68 | $18.09 | $22.16 | |
Anthem BCBS
| Professional | $15.96 | $21.03 | $33.00 | |
Medica
| Facility | $15.47 | $22.16 | $45.87 | |
Medica
| Professional | $283.32 | $283.32 | $283.32 |
Pulp Vitality Tests
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.68 | $18.09 | $22.16 | |
Anthem BCBS
| Professional | $15.96 | $21.03 | $33.00 | |
Medica
| Facility | $15.47 | $22.16 | $45.87 | |
Medica
| Professional | $283.32 | $283.32 | $283.32 |