| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.03 | $196.03 | $196.03 | |
Aetna
| Professional | $150.38 | $196.03 | $196.03 | |
Medica
| Facility | $196.03 | $214.11 | $588.09 |
Occlusal Adjustment - Complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.03 | $196.03 | $196.03 | |
Aetna
| Professional | $150.38 | $196.03 | $196.03 | |
Medica
| Facility | $196.03 | $214.11 | $588.09 |