| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.70 | $69.70 | $69.70 | |
Aetna
| Professional | $51.70 | $58.32 | $69.70 | |
BCBS
| Professional | $74.70 | $85.95 | $87.67 |
Extraction, Erupted Tooth Or Exposed Root (Elevation And/Or Forceps Removal)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.70 | $69.70 | $69.70 | |
Aetna
| Professional | $51.70 | $58.32 | $69.70 | |
BCBS
| Professional | $74.70 | $85.95 | $87.67 |