| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.33 | $127.56 | $240.62 | |
Medica
| Facility | $117.33 | $140.54 | $254.03 | |
Medica
| Professional | $850.03 | $850.03 | $850.03 |
Removal Of Impacted Tooth - Soft Tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.33 | $127.56 | $240.62 | |
Medica
| Facility | $117.33 | $140.54 | $254.03 | |
Medica
| Professional | $850.03 | $850.03 | $850.03 |