| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $70.00 | $70.00 | $77.00 | |
BCBS
| Professional | $115.00 | $115.00 | $115.00 | |
Molina
| Professional | $21.25 | $42.50 | $50.00 |
Deep Sedation/General Anesthesia-1st 15 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $70.00 | $70.00 | $77.00 | |
BCBS
| Professional | $115.00 | $115.00 | $115.00 | |
Molina
| Professional | $21.25 | $42.50 | $50.00 |