| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.16 | $289.16 | $289.16 | |
Aetna
| Professional | $127.56 | $289.16 | $289.16 | |
Anthem BCBS
| Professional | $150.44 | $202.06 | $366.15 |
Removal Of Impacted Tooth - Soft Tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.16 | $289.16 | $289.16 | |
Aetna
| Professional | $127.56 | $289.16 | $289.16 | |
Anthem BCBS
| Professional | $150.44 | $202.06 | $366.15 |