| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.33 | $37.33 | $37.33 | |
Aetna
| Professional | $37.33 | $47.25 | $57.61 |
Extraction Coronal Remnants-Primary Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.33 | $37.33 | $37.33 | |
Aetna
| Professional | $37.33 | $47.25 | $57.61 |