| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.27 | $102.27 | $102.27 | |
Aetna
| Professional | $60.69 | $102.27 | $102.27 | |
Anthem BCBS
| Professional | $51.85 | $67.09 | $182.06 |
Occlusal Adjustment - Limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.27 | $102.27 | $102.27 | |
Aetna
| Professional | $60.69 | $102.27 | $102.27 | |
Anthem BCBS
| Professional | $51.85 | $67.09 | $182.06 |