| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.71 | $2,562.00 | $4,050.00 | |
Aetna
| Professional | $149.63 | $168.77 | $201.71 | |
BCBS
| Professional | $229.02 | $263.52 | $268.80 |
Removal Of Impacted Tooth - Partially Bony
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.71 | $2,562.00 | $4,050.00 | |
Aetna
| Professional | $149.63 | $168.77 | $201.71 | |
BCBS
| Professional | $229.02 | $263.52 | $268.80 |