| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $57.54 | $57.54 | |
Aetna
| Professional | $25.12 | $45.71 | $91.20 | |
BCBS
| Professional | $51.29 | $51.29 | $51.29 | |
United
| Professional | $45.71 | $52.48 | $60.26 |
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
| Facility | $57.54 | $57.54 | $57.54 | |
Aetna
| Professional | $25.12 | $45.71 | $91.20 | |
BCBS
| Professional | $51.29 | $51.29 | $51.29 | |
United
| Professional | $45.71 | $52.48 | $60.26 |