| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.49 | $64.98 | $115.69 | |
Anthem BCBS
| Professional | $60.00 | $107.80 | $153.32 | |
Harvard Pilgrim
| Professional | $127.96 | $210.49 | $394.95 |
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 | $34.49 | $64.98 | $115.69 | |
Anthem BCBS
| Professional | $60.00 | $107.80 | $153.32 | |
Harvard Pilgrim
| Professional | $127.96 | $210.49 | $394.95 |