| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.71 | $78.88 | $99.55 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |
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 | $27.71 | $78.88 | $99.55 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |