| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.45 | $199.45 | $8,500.00 | |
Aetna
| Professional | $183.25 | $199.45 | $211.35 | |
BCBS
| Professional | $429.00 | $432.21 | $508.49 | |
Medica
| Facility | $183.96 | $199.45 | $598.35 |
Removal Of Impacted Tooth - Completely Bony
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.45 | $199.45 | $8,500.00 | |
Aetna
| Professional | $183.25 | $199.45 | $211.35 | |
BCBS
| Professional | $429.00 | $432.21 | $508.49 | |
Medica
| Facility | $183.96 | $199.45 | $598.35 |