| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.49 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $213.64 | $234.49 | $265.11 |
Remv Imp Tooth - Cmpl Bony W/Unusual Surg Comps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.49 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $213.64 | $234.49 | $265.11 |