| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.58 | $30.16 | $39.46 | |
Medica
| Facility | $28.58 | $34.57 | $61.94 | |
Medica
| Professional | $209.82 | $209.82 | $209.82 |
Adjust Complete Denture - Maxillary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.58 | $30.16 | $39.46 | |
Medica
| Facility | $28.58 | $34.57 | $61.94 | |
Medica
| Professional | $209.82 | $209.82 | $209.82 |