| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.21 | $118.21 | $118.21 | |
BCBS
| Professional | $241.00 | $241.00 | $241.00 |
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
| Professional | $118.21 | $118.21 | $118.21 | |
BCBS
| Professional | $241.00 | $241.00 | $241.00 |