| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.88 | $7,629.00 | $10,492.00 | |
Aetna
| Professional | $169.58 | $385.88 | $385.88 | |
Anthem BCBS
| Professional | $192.95 | $268.85 | $407.60 |
Removal Of Impacted Tooth - Partially Bony
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.88 | $7,629.00 | $10,492.00 | |
Aetna
| Professional | $169.58 | $385.88 | $385.88 | |
Anthem BCBS
| Professional | $192.95 | $268.85 | $407.60 |