| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.54 | $169.54 | $8,500.00 | |
Aetna
| Professional | $169.54 | $169.58 | $176.39 | |
BCBS
| Professional | $429.00 | $432.21 | $508.49 | |
Medica
| Facility | $156.22 | $169.54 | $508.62 |
Removal Of Impacted Tooth - Partially Bony
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.54 | $169.54 | $8,500.00 | |
Aetna
| Professional | $169.54 | $169.58 | $176.39 | |
BCBS
| Professional | $429.00 | $432.21 | $508.49 | |
Medica
| Facility | $156.22 | $169.54 | $508.62 |