| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.68 | $50.77 | $62.37 | |
BCBS
| Professional | $33.60 | $44.80 | $56.00 | |
Medica
| Facility | $45.68 | $57.69 | $109.97 | |
Medica
| Professional | $352.42 | $352.42 | $352.42 |
Extraction Coronal Remnants-Primary Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.68 | $50.77 | $62.37 | |
BCBS
| Professional | $33.60 | $44.80 | $56.00 | |
Medica
| Facility | $45.68 | $57.69 | $109.97 | |
Medica
| Professional | $352.42 | $352.42 | $352.42 |