| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.85 | $55.40 | $62.88 |
Extraction, Erupted Tooth Or Exposed Root (Elevation And/Or Forceps Removal)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.85 | $55.40 | $62.88 |