| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.08 | $136.72 | $222.99 | |
Medica
| Facility | $134.71 | $186.37 | $333.82 | |
Medica
| Professional | $1,307.34 | $1,307.34 | $1,307.34 |
Occlusal Adjustment - Complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.08 | $136.72 | $222.99 | |
Medica
| Facility | $134.71 | $186.37 | $333.82 | |
Medica
| Professional | $1,307.34 | $1,307.34 | $1,307.34 |