| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.55 | $53.66 | $62.37 | |
Moda Health
| Facility | $34.54 | $56.88 | $79.83 | |
Molina
| Professional | $30.00 | $2,000.00 | $3,900.00 |
Extraction, Coronal Remnants - Primary Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.55 | $53.66 | $62.37 | |
Moda Health
| Facility | $34.54 | $56.88 | $79.83 | |
Molina
| Professional | $30.00 | $2,000.00 | $3,900.00 |