| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.95 | $278.42 | $1,423.56 | |
Aetna
| Professional | $89.95 | $126.10 | $139.38 |
Removal Of Impacted Tooth - Soft Tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.95 | $278.42 | $1,423.56 | |
Aetna
| Professional | $89.95 | $126.10 | $139.38 |