| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.21 | $101.40 | $111.66 | |
CareFirst
| Professional | $142.00 | $153.00 | $195.84 | |
Kaiser Permanente
| Professional | $128.26 | $165.46 | $250.22 |
Extraction Eru Tooth Rqr Remv Bone &/Sectn Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.21 | $101.40 | $111.66 | |
CareFirst
| Professional | $142.00 | $153.00 | $195.84 | |
Kaiser Permanente
| Professional | $128.26 | $165.46 | $250.22 |