| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $147.91 | $245.47 | |
Medica
| Facility | $134.90 | $186.21 | $389.05 | |
Medica
| Professional | $1,318.26 | $1,318.26 | $1,318.26 |
Occlusal Adjustment - Complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $147.91 | $245.47 | |
Medica
| Facility | $134.90 | $186.21 | $389.05 | |
Medica
| Professional | $1,318.26 | $1,318.26 | $1,318.26 |