| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.68 | $120.68 | $3,202.17 | |
Aetna
| Professional | $117.25 | $124.01 | $136.16 |
Removal Of Impacted Tooth - Soft Tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.68 | $120.68 | $3,202.17 | |
Aetna
| Professional | $117.25 | $124.01 | $136.16 |