| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.06 | $2,562.00 | $4,050.00 | |
Aetna
| Professional | $175.87 | $198.37 | $237.06 | |
BCBS
| Professional | $290.63 | $334.43 | $341.12 |
Removal Of Impacted Tooth - Completely Bony
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.06 | $2,562.00 | $4,050.00 | |
Aetna
| Professional | $175.87 | $198.37 | $237.06 | |
BCBS
| Professional | $290.63 | $334.43 | $341.12 |