| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $1,288.25 | $1,288.25 | |
Aetna
| Professional | $125.89 | $151.36 | $245.47 |
Occlusal Adjustment - Complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $1,288.25 | $1,288.25 | |
Aetna
| Professional | $125.89 | $151.36 | $245.47 |