| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $181.19 | $181.19 | $181.19 | |
BCBS
| Professional | $395.00 | $395.00 | $395.00 |
Removal Of Impacted Tooth - Partially Bony
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $181.19 | $181.19 | $181.19 | |
BCBS
| Professional | $395.00 | $395.00 | $395.00 |