| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.83 | $169.37 | $169.37 | |
Anthem BCBS
| Professional | $163.08 | $177.00 | $231.73 | |
Harvard Pilgrim
| Professional | $193.52 | $383.90 | $637.47 |
Removal Of Impacted Tooth - Soft Tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.83 | $169.37 | $169.37 | |
Anthem BCBS
| Professional | $163.08 | $177.00 | $231.73 | |
Harvard Pilgrim
| Professional | $193.52 | $383.90 | $637.47 |