| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $183.25 | $197.33 | $492.85 | |
CareFirst
| Professional | $240.30 | $292.00 | $333.76 | |
Kaiser Permanente
| Professional | $230.08 | $296.80 | $469.01 |
Removal Of Impacted Tooth - Completely Bony
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $183.25 | $197.33 | $492.85 | |
CareFirst
| Professional | $240.30 | $292.00 | $333.76 | |
Kaiser Permanente
| Professional | $230.08 | $296.80 | $469.01 |