| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.30 | $44.71 | $54.53 | |
Moda Health
| Facility | $40.61 | $52.86 | $69.80 | |
Molina
| Professional | $30.00 | $30.00 | $3,500.00 |
Occlusal Adjustment - Limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.30 | $44.71 | $54.53 | |
Moda Health
| Facility | $40.61 | $52.86 | $69.80 | |
Molina
| Professional | $30.00 | $30.00 | $3,500.00 |