| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.88 | $6,325.00 | $11,298.00 | |
Aetna
| Professional | $155.85 | $162.91 | $181.00 |
Removal Of Impacted Tooth - Partially Bony
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.88 | $6,325.00 | $11,298.00 | |
Aetna
| Professional | $155.85 | $162.91 | $181.00 |