| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.77 | $41.77 | $41.77 | |
Aetna
| Professional | $36.75 | $41.77 | $41.77 |
Occlusal Adjustment - Limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.77 | $41.77 | $41.77 | |
Aetna
| Professional | $36.75 | $41.77 | $41.77 |