| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $240.61 | $273.32 | $273.99 | |
CareFirst
| Professional | $305.10 | $441.00 | $504.06 | |
Kaiser Permanente
| Professional | $319.00 | $411.51 | $623.74 |
Remv Imp Tooth - Cmpl Bony W/Unusual Surg Comps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $240.61 | $273.32 | $273.99 | |
CareFirst
| Professional | $305.10 | $441.00 | $504.06 | |
Kaiser Permanente
| Professional | $319.00 | $411.51 | $623.74 |