| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.60 | $169.60 | $8,500.00 | |
Medica
| Facility | $169.60 | $202.59 | $508.80 | |
United
| Facility | $6,168.71 | $6,168.71 | $6,168.71 |
Removal Impacted Vag Fb Spx W/Anes Oth/Thn Local
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.60 | $169.60 | $8,500.00 | |
Medica
| Facility | $169.60 | $202.59 | $508.80 | |
United
| Facility | $6,168.71 | $6,168.71 | $6,168.71 |