| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.77 | $31.77 | $43.31 | |
BCBS
| Professional | $120.39 | $120.99 | $122.54 | |
Medica
| Facility | $27.97 | $29.36 | $49.95 | |
Medica
| Professional | $221.34 | $221.34 | $221.34 |
Diagnostic Casts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.77 | $31.77 | $43.31 | |
BCBS
| Professional | $120.39 | $120.99 | $122.54 | |
Medica
| Facility | $27.97 | $29.36 | $49.95 | |
Medica
| Professional | $221.34 | $221.34 | $221.34 |