| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.64 | $14.64 | $14.64 | |
Aetna
| Professional | $14.64 | $18.32 | $20.93 | |
Medcost
| Facility | $14.64 | $19.76 | $32.43 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Inhalation Of Nitrous Oxide/Analgesia Anxiolysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.64 | $14.64 | $14.64 | |
Aetna
| Professional | $14.64 | $18.32 | $20.93 | |
Medcost
| Facility | $14.64 | $19.76 | $32.43 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |