| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $288.40 | $288.40 | |
Aetna
| Professional | $107.15 | $125.89 | $288.40 | |
Anthem BCBS
| Professional | $134.90 | $194.98 | $338.84 |
Removal Of Impacted Tooth - Soft Tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $288.40 | $288.40 | |
Aetna
| Professional | $107.15 | $125.89 | $288.40 | |
Anthem BCBS
| Professional | $134.90 | $194.98 | $338.84 |