| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.38 | $197.38 | $197.38 | |
Aetna
| Professional | $128.91 | $197.38 | $197.38 |
Occlusal Adjustment - Complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.38 | $197.38 | $197.38 | |
Aetna
| Professional | $128.91 | $197.38 | $197.38 |