| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.63 | $214.40 | $288.82 | |
Aetna
| Professional | $49.16 | $53.63 | $58.57 | |
CareSource
| Facility | $95.28 | $95.28 | $95.28 | |
CareSource
| Professional | $76.55 | $79.61 | $147.27 |
Extraction, Erupted Tooth Or Exposed Root (Elevation And/Or Forceps Removal)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.63 | $214.40 | $288.82 | |
Aetna
| Professional | $49.16 | $53.63 | $58.57 | |
CareSource
| Facility | $95.28 | $95.28 | $95.28 | |
CareSource
| Professional | $76.55 | $79.61 | $147.27 |