| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $63.10 | $199.53 | |
BCBS
| Professional | $141.25 | $141.25 | $141.25 |
Extraction, Erupted Tooth Or Exposed Root (Elevation And/Or Forceps Removal)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $63.10 | $199.53 | |
BCBS
| Professional | $141.25 | $141.25 | $141.25 |