| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.02 | $44.02 | $44.02 | |
BCBS
| Professional | $202.00 | $202.00 | $202.00 |
Occlusal Adjustment - Limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.02 | $44.02 | $44.02 | |
BCBS
| Professional | $202.00 | $202.00 | $202.00 |