| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $44.67 | $95.50 | |
CareFirst
| Professional | $81.28 | $89.13 | $107.15 | |
Kaiser Permanente
| Professional | $28.84 | $33.88 | $42.66 |
Consultation - Diagnostic Service Provided By Dentist Or Physician Other Than Requesting Dentist Or Physician
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $44.67 | $95.50 | |
CareFirst
| Professional | $81.28 | $89.13 | $107.15 | |
Kaiser Permanente
| Professional | $28.84 | $33.88 | $42.66 |