| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $891.68 | $891.68 | $891.68 | |
BCBS
| Professional | $464.00 | $464.00 | $464.00 |
Removal Of Impacted Tooth - Completely Bony
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $891.68 | $891.68 | $891.68 | |
BCBS
| Professional | $464.00 | $464.00 | $464.00 |