| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $47.86 | $114.82 | |
BCBS
| Facility | $14,125.38 | $14,125.38 | $15,848.93 | |
United
| Professional | $47.86 | $79.43 | $144.54 |
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 | $25.12 | $47.86 | $114.82 | |
BCBS
| Facility | $14,125.38 | $14,125.38 | $15,848.93 | |
United
| Professional | $47.86 | $79.43 | $144.54 |