| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.20 | $57.20 | $57.20 | |
BCBS
| Professional | $102.00 | $102.00 | $102.00 |
Extraction, Coronal Remnants - Primary Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.20 | $57.20 | $57.20 | |
BCBS
| Professional | $102.00 | $102.00 | $102.00 |