| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.56 | $40.56 | $40.56 | |
Aetna
| Professional | $36.95 | $40.56 | $53.09 |
Extraction, Coronal Remnants - Primary Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.56 | $40.56 | $40.56 | |
Aetna
| Professional | $36.95 | $40.56 | $53.09 |