| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.13 | $2,562.00 | $4,050.00 | |
Aetna
| Professional | $227.85 | $256.99 | $307.13 | |
BCBS
| Professional | $359.44 | $413.61 | $421.88 |
Remv Imp Tooth - Cmpl Bony W/Unusual Surg Comps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.13 | $2,562.00 | $4,050.00 | |
Aetna
| Professional | $227.85 | $256.99 | $307.13 | |
BCBS
| Professional | $359.44 | $413.61 | $421.88 |