| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.05 | $127.51 | $152.40 | |
Aetna
| Professional | $113.05 | $127.51 | $152.40 | |
BCBS
| Professional | $165.34 | $190.26 | $194.07 |
Removal Of Impacted Tooth - Soft Tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.05 | $127.51 | $152.40 | |
Aetna
| Professional | $113.05 | $127.51 | $152.40 | |
BCBS
| Professional | $165.34 | $190.26 | $194.07 |