| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.94 | $137.94 | $137.94 | |
BCBS
| Professional | $298.00 | $298.00 | $298.00 |
Removal Of Impacted Tooth - Soft Tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.94 | $137.94 | $137.94 | |
BCBS
| Professional | $298.00 | $298.00 | $298.00 |