| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $42.66 | $91.20 | |
BCBS
| Professional | $181.97 | $181.97 | $181.97 |
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 | $42.66 | $91.20 | |
BCBS
| Professional | $181.97 | $181.97 | $181.97 |