| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.01 | $47.50 | $80.95 | |
BCBS
| Professional | $89.00 | $89.00 | $89.00 | |
United
| Professional | $47.80 | $114.93 | $176.07 |
Consult Dx Serv Dent/Phy Not Requesting Dent/Phy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.01 | $47.50 | $80.95 | |
BCBS
| Professional | $89.00 | $89.00 | $89.00 | |
United
| Professional | $47.80 | $114.93 | $176.07 |