| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.77 | $41.47 | $49.96 | |
Aetna
| Professional | $36.77 | $41.47 | $49.96 | |
BCBS
| Professional | $49.41 | $56.86 | $58.00 |
Occlusal Adjustment - Limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.77 | $41.47 | $49.96 | |
Aetna
| Professional | $36.77 | $41.47 | $49.96 | |
BCBS
| Professional | $49.41 | $56.86 | $58.00 |