| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $1,819.70 | $2,511.89 | |
Aetna
| Professional | $169.82 | $204.17 | $512.86 | |
CareSource
| Professional | $263.03 | $263.03 | $501.19 |
Removal Of Impacted Tooth - Completely Bony
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $1,819.70 | $2,511.89 | |
Aetna
| Professional | $169.82 | $204.17 | $512.86 | |
CareSource
| Professional | $263.03 | $263.03 | $501.19 |