| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.54 | $32.36 | $32.86 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Molina
| Professional | $21.25 | $30.00 | $50.00 |
Diagnostic Casts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.54 | $32.36 | $32.86 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Molina
| Professional | $21.25 | $30.00 | $50.00 |