| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.96 | $58.31 | $89.26 |
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 | $35.96 | $58.31 | $89.26 |