| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.32 | $98.32 | $98.32 | |
Aetna
| Professional | $57.70 | $98.32 | $98.32 | |
Anthem BCBS
| Professional | $49.19 | $67.09 | $110.53 |
Extraction Coronal Remnants-Primary Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.32 | $98.32 | $98.32 | |
Aetna
| Professional | $57.70 | $98.32 | $98.32 | |
Anthem BCBS
| Professional | $49.19 | $67.09 | $110.53 |