| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.12 | $56.79 | $56.79 | |
Anthem BCBS
| Professional | $55.27 | $61.00 | $78.41 | |
Harvard Pilgrim
| Professional | $65.58 | $130.10 | $216.03 |
Extraction, Coronal Remnants - Primary Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.12 | $56.79 | $56.79 | |
Anthem BCBS
| Professional | $55.27 | $61.00 | $78.41 | |
Harvard Pilgrim
| Professional | $65.58 | $130.10 | $216.03 |