| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.27 | $16.52 | $18.95 | |
BCBS
| Professional | $26.57 | $26.57 | $26.57 | |
Medcost
| Facility | $16.52 | $19.05 | $25.06 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Pulp Vitality Tests
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.27 | $16.52 | $18.95 | |
BCBS
| Professional | $26.57 | $26.57 | $26.57 | |
Medcost
| Facility | $16.52 | $19.05 | $25.06 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |