| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.45 | $28.20 | $34.56 | |
Anthem BCBS
| Professional | $33.65 | $40.63 | $70.26 | |
Medica
| Facility | $27.90 | $36.63 | $88.19 | |
Medica
| Professional | $221.34 | $221.34 | $221.34 |
Diagnostic Casts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.45 | $28.20 | $34.56 | |
Anthem BCBS
| Professional | $33.65 | $40.63 | $70.26 | |
Medica
| Facility | $27.90 | $36.63 | $88.19 | |
Medica
| Professional | $221.34 | $221.34 | $221.34 |