| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.03 | $29.14 | $29.14 | |
CareFirst
| Professional | $51.30 | $51.30 | $57.00 | |
Kaiser Permanente
| Professional | $40.79 | $72.98 | $72.98 |
Diagnostic Casts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.03 | $29.14 | $29.14 | |
CareFirst
| Professional | $51.30 | $51.30 | $57.00 | |
Kaiser Permanente
| Professional | $40.79 | $72.98 | $72.98 |