| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.61 | $102.61 | $102.61 | |
Aetna
| Professional | $102.61 | $136.57 | $231.31 |
Occlusal Adjustment - Complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.61 | $102.61 | $102.61 | |
Aetna
| Professional | $102.61 | $136.57 | $231.31 |