| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.01 | $34.53 | $89.26 | |
BCBS
| Professional | $80.00 | $80.00 | $80.00 | |
Medica
| Facility | $34.13 | $36.43 | $113.41 | |
Medica
| Professional | $29.01 | $123.49 | $380.66 |
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 | $27.01 | $34.53 | $89.26 | |
BCBS
| Professional | $80.00 | $80.00 | $80.00 | |
Medica
| Facility | $34.13 | $36.43 | $113.41 | |
Medica
| Professional | $29.01 | $123.49 | $380.66 |