| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.17 | $26.48 | $28.28 | |
Medica
| Facility | $26.48 | $30.02 | $41.71 | |
Medica
| Professional | $38.35 | $221.34 | $221.34 |
Diagnostic Casts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.17 | $26.48 | $28.28 | |
Medica
| Facility | $26.48 | $30.02 | $41.71 | |
Medica
| Professional | $38.35 | $221.34 | $221.34 |