| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Sentara
| Facility | $7,413.10 | $10,000.00 | $10,964.78 | |
Sentara
| Professional | $7,413.10 | $10,000.00 | $10,964.78 |
Unspecified Orthodontic Procedure, By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Sentara
| Facility | $7,413.10 | $10,000.00 | $10,964.78 | |
Sentara
| Professional | $7,413.10 | $10,000.00 | $10,964.78 |