| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,788.96 | $3,955.04 | |
Aetna
| Professional | $177.02 | $258.17 | $269.10 | |
BCBS
| Professional | $284.75 | $335.00 | $545.78 |
Removal Of Impacted Tooth - Completely Bony
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,788.96 | $3,955.04 | |
Aetna
| Professional | $177.02 | $258.17 | $269.10 | |
BCBS
| Professional | $284.75 | $335.00 | $545.78 |