| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $295.12 | $8,511.38 | |
Aetna
| Professional | $251.19 | $281.84 | $323.59 | |
BCBS
| Professional | $478.63 | $549.54 | $676.08 | |
Medica
| Facility | $257.04 | $398.11 | $776.25 |
Removal Of Impacted Tooth - Completely Bony, With Unusual Surgical Complications
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $295.12 | $8,511.38 | |
Aetna
| Professional | $251.19 | $281.84 | $323.59 | |
BCBS
| Professional | $478.63 | $549.54 | $676.08 | |
Medica
| Facility | $257.04 | $398.11 | $776.25 |