| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $1,445.44 | $6,456.54 | |
BCBS
| Facility | $575.44 | $891.25 | $1,445.44 | |
Medica
| Facility | $138.04 | $288.40 | $1,096.48 | |
United
| Facility | $100.00 | $616.60 | $1,659.59 |
Drainage of abscess, cyst, hematoma from dentoalveolar structures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $1,445.44 | $6,456.54 | |
BCBS
| Facility | $575.44 | $891.25 | $1,445.44 | |
Medica
| Facility | $138.04 | $288.40 | $1,096.48 | |
United
| Facility | $100.00 | $616.60 | $1,659.59 |