| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.55 | $58.55 | $58.55 | |
Aetna
| Professional | $52.85 | $58.55 | $64.80 | |
BCBS
| Professional | $121.30 | $122.20 | $143.77 | |
Medica
| Facility | $52.60 | $58.55 | $2,883.17 |
Extraction, Erupted Tooth Or Exposed Root (Elevation And/Or Forceps Removal)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.55 | $58.55 | $58.55 | |
Aetna
| Professional | $52.85 | $58.55 | $64.80 | |
BCBS
| Professional | $121.30 | $122.20 | $143.77 | |
Medica
| Facility | $52.60 | $58.55 | $2,883.17 |