| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.37 | $27.37 | $89.26 | |
CareFirst
| Professional | $81.00 | $90.00 | $119.70 | |
Kaiser Permanente
| Professional | $31.74 | $36.75 | $68.84 |
Consult Dx Serv Dent/Phy Not Requesting Dent/Phy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.37 | $27.37 | $89.26 | |
CareFirst
| Professional | $81.00 | $90.00 | $119.70 | |
Kaiser Permanente
| Professional | $31.74 | $36.75 | $68.84 |