| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.99 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $150.99 | $150.99 | $387.00 | |
Molina
| Professional | $45.00 | $45.00 | $284.62 |
Removal Of Impacted Tooth - Partially Bony
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.99 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $150.99 | $150.99 | $387.00 | |
Molina
| Professional | $45.00 | $45.00 | $284.62 |