| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $1,288.25 | $1,288.25 | |
Aetna
| Professional | $30.20 | $38.90 | $52.48 |
Occlusal Adjustment - Limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $1,288.25 | $1,288.25 | |
Aetna
| Professional | $30.20 | $38.90 | $52.48 |