| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.56 | $132.56 | $132.56 | |
Aetna
| Professional | $93.21 | $132.56 | $139.18 | |
BCBS
| Facility | $329.88 | $771.51 | $3,775.78 | |
BCBS
| Professional | $95.90 | $125.00 | $150.69 |
Extraction Eru Tooth Rqr Remv Bone &/Sectn Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.56 | $132.56 | $132.56 | |
Aetna
| Professional | $93.21 | $132.56 | $139.18 | |
BCBS
| Facility | $329.88 | $771.51 | $3,775.78 | |
BCBS
| Professional | $95.90 | $125.00 | $150.69 |