| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.50 | $166.50 | $166.50 | |
BCBS
| Professional | $578.00 | $578.00 | $578.00 |
Occlusal Adjustment - Complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.50 | $166.50 | $166.50 | |
BCBS
| Professional | $578.00 | $578.00 | $578.00 |