| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.10 | $128.10 | $128.10 | |
Aetna
| Professional | $127.56 | $128.10 | $134.94 | |
BCBS
| Professional | $229.71 | $231.44 | $272.27 | |
Medica
| Facility | $117.48 | $128.10 | $384.30 |
Removal Of Impacted Tooth - Soft Tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.10 | $128.10 | $128.10 | |
Aetna
| Professional | $127.56 | $128.10 | $134.94 | |
BCBS
| Professional | $229.71 | $231.44 | $272.27 | |
Medica
| Facility | $117.48 | $128.10 | $384.30 |