| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.10 | $130.81 | $259.00 | |
Moda Health
| Facility | $101.02 | $152.40 | $331.52 | |
Molina
| Professional | $30.00 | $30.00 | $3,500.00 |
Removal Of Impacted Tooth - Soft Tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.10 | $130.81 | $259.00 | |
Moda Health
| Facility | $101.02 | $152.40 | $331.52 | |
Molina
| Professional | $30.00 | $30.00 | $3,500.00 |