| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.40 | $65.40 | $65.40 | |
BCBS
| Professional | $140.00 | $140.00 | $140.00 |
Extraction Erupted Tooth Or Exposed Root
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.40 | $65.40 | $65.40 | |
BCBS
| Professional | $140.00 | $140.00 | $140.00 |