| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.17 | $103.96 | $124.25 | |
Aetna
| Professional | $92.17 | $103.96 | $124.25 | |
BCBS
| Professional | $143.77 | $165.44 | $168.75 |
Extraction, Erupted Tooth Requiring Removal Of Bone And/Or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.17 | $103.96 | $124.25 | |
Aetna
| Professional | $92.17 | $103.96 | $124.25 | |
BCBS
| Professional | $143.77 | $165.44 | $168.75 |