| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.22 | $27.22 | $27.22 | |
Aetna
| Professional | $27.06 | $27.22 | $51.81 | |
Anthem BCBS
| Professional | $54.74 | $64.40 | $67.76 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |
Diagnostic Casts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.22 | $27.22 | $27.22 | |
Aetna
| Professional | $27.06 | $27.22 | $51.81 | |
Anthem BCBS
| Professional | $54.74 | $64.40 | $67.76 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |