| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.78 | $158.78 | $753.00 | |
Aetna
| Professional | $142.75 | $158.78 | $222.85 |
Occlusal Adjustment - Complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.78 | $158.78 | $753.00 | |
Aetna
| Professional | $142.75 | $158.78 | $222.85 |