| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.14 | $48.89 | $54.86 | |
CareFirst
| Professional | $58.50 | $58.50 | $74.88 | |
Kaiser Permanente
| Professional | $63.58 | $82.02 | $117.06 |
Extraction Coronal Remnants-Primary Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.14 | $48.89 | $54.86 | |
CareFirst
| Professional | $58.50 | $58.50 | $74.88 | |
Kaiser Permanente
| Professional | $63.58 | $82.02 | $117.06 |