| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $371.54 | $2,344.23 | |
Medica
| Facility | $151.36 | $281.84 | $524.81 | |
United
| Facility | $125.89 | $257.04 | $2,041.74 |
Drainage of abscess, cyst, hematoma from dentoalveolar structures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $371.54 | $2,344.23 | |
Medica
| Facility | $151.36 | $281.84 | $524.81 | |
United
| Facility | $125.89 | $257.04 | $2,041.74 |