| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.92 | $17.69 | $26.24 | |
Providence
| Facility | $13.92 | $25.93 | $43.64 | |
Providence
| Professional | $18.12 | $30.20 | $2,250,000.00 |
Administration Of Nitrous Oxide
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.92 | $17.69 | $26.24 | |
Providence
| Facility | $13.92 | $25.93 | $43.64 | |
Providence
| Professional | $18.12 | $30.20 | $2,250,000.00 |